Park Chul Hyun
Department of Orthopedic Surgery, Yeungnam University Medical Center, Hyeonchungno 170, Nam-gu, Daegu, 42415, Republic of Korea.
Clin Podiatr Med Surg. 2019 Apr;36(2):233-249. doi: 10.1016/j.cpm.2018.10.006. Epub 2019 Jan 28.
Subtalar arthroscopy has an important role in enhancing the reduction of the posterior facet in percutaneous and open approaches of displaced intra-articular calcaneal fractures. In the percutaneous approach, arthroscopically assistant percutaneous approach must be selected carefully for mild-to-moderately displaced fractures. In the open approach, there is still little evidence of the utility of subtalar arthroscopy. Therefore, intraoperative arthroscopy should always be used in conjunction with fluoroscopy to achieve reduction and assess the internal fixation placement.
距下关节镜检查在经皮和切开治疗移位的关节内跟骨骨折时,对于促进后关节面复位具有重要作用。在经皮手术中,对于轻至中度移位骨折,必须谨慎选择关节镜辅助经皮手术入路。在切开手术中,距下关节镜检查的效用仍缺乏充分证据。因此,术中关节镜检查应始终与透视相结合,以实现骨折复位并评估内固定物的放置情况。