Hordyk Peter J, Fuerbringer Brent A, Roukis Thomas S
Podiatric Medicine and Surgery Department, Gundersen Healthcare System, 1330 North Superior Avenue, Tomah, WI 54660, USA.
Orthopaedic Center, Gundersen Health System, Mail Stop: CO2-006, 1900 South Avenue, La Crosse, WI 54601, USA.
Clin Podiatr Med Surg. 2019 Apr;36(2):163-171. doi: 10.1016/j.cpm.2018.10.001. Epub 2018 Dec 12.
Performing a thorough clinical evaluation following an acute displaced intra-articular calcaneal fracture is paramount for optimal surgical timing and long-term outcome. Initial survey must entail a comprehensive evaluation to rule out concurrent injuries. Focused lower extremity examination must involve a complete neurovascular and soft tissue evaluation to identify such conditions as compartment syndrome or compromised integument, which necessitate urgent intervention. Establishing baseline radiographs and advanced imaging is vital for surgical planning. Once deemed stable, protocol-driven treatment is best to ensure proper control of pain and edema and adequate management of economic and patient safety concerns.
对于急性移位的关节内跟骨骨折，进行全面的临床评估对于确定最佳手术时机和长期预后至关重要。初始检查必须进行全面评估以排除并发损伤。重点下肢检查必须包括完整的神经血管和软组织评估，以识别诸如骨筋膜室综合征或皮肤受损等情况，这些情况需要紧急干预。建立基线X线片和先进影像学检查对于手术规划至关重要。一旦确定病情稳定，采用方案驱动的治疗方法最有利于确保对疼痛和水肿的适当控制以及对经济和患者安全问题的妥善管理。
