Bibbo Christopher, Siddiqui Noman, Fink Jessica, Powers Jake, Ehrlich David A, Kovach Steven J
Foot and Ankle Section, Plastic Reconstructive and Microsurgery, Musculoskeletal Infection Service, Limb Salvage, and Orthopaedic Trauma, Rubin Institute for Advanced Orthopaedics, Sinai Hospital of Baltimore, Baltimore, MD, USA.
Diabetic Limb Preservation at Lifebridge Health, Rubin Institute for Advanced Orthopaedics, Sinai Hospital of Baltimore, 2401 West Belvedere Avenue, Baltimore, MD 21215, USA.
Clin Podiatr Med Surg. 2019 Apr;36(2):323-337. doi: 10.1016/j.cpm.2018.10.012. Epub 2018 Dec 12.
Soft tissue defects and wound healing complications related to calcaneus fractures may result in significant morbidity. The management of these soft tissue complications requires following reconstructive principles that provide the requisites for preservation of the injured limb and the maximization of function. Soft tissue complications are addressed with methods that commensurate with the degree of injury, ranging from local wound care to free flap reconstruction. With the orthoplastic approach to both bone and soft tissue plastic reconstruction, outcomes for limb salvage are greatly enhanced. This article discusses in detail the reconstructive ladder for soft tissue injuries associated with calcaneus fractures.
与跟骨骨折相关的软组织缺损和伤口愈合并发症可能导致严重的发病率。这些软组织并发症的处理需要遵循重建原则，这些原则为保留受伤肢体和最大限度地恢复功能提供了必要条件。软组织并发症通过与损伤程度相称的方法来处理，范围从局部伤口护理到游离皮瓣重建。采用骨与软组织整形重建的整形外科方法，可大大提高肢体挽救的效果。本文详细讨论了与跟骨骨折相关的软组织损伤的重建阶梯。
