Sykes M, Kisson E, Reichert I, Rose V, Ahluwalia R
Department of Orthopaedics, King's College Hospital, London, UK.
Departemnt of Plastic Surgery, Guy's & St Thomas's Hospital, London, UK.
J Clin Orthop Trauma. 2020 May-Jun;11(3):462-466. doi: 10.1016/j.jcot.2020.03.017. Epub 2020 Mar 31.
Treating open calcaneal fractures remains challenging, particularly when involving bone loss and infection.
We present the case of a 25-year-old woman who sustained an open AO 83-C2 calcaneal fracture with subsequent necrosis and presumed infection. Superseding necrosis and bone loss complicated the plan for definitive fixation. Residual bone was stabilised with Kirshner-wires and the void filled with a calcium sulphate and hydroxyapatite spacer, facilitating delayed surgical reconstruction.
Using calcium sulphate and hydroxyapatite spacer, as part of a 2-stage process represents a strategy in the treatment of complex calcaneal fractures with possible infection, and bone and soft tissue loss.
治疗开放性跟骨骨折仍然具有挑战性，尤其是当伴有骨质缺损和感染时。
我们报告一例25岁女性，她遭受了开放性AO 83-C2型跟骨骨折，随后出现坏死并推测存在感染。坏死和骨质缺损的情况使确定性固定计划变得复杂。用克氏针固定残留骨质，并用硫酸钙和羟基磷灰石间隔物填充骨缺损，为延迟手术重建创造了条件。
使用硫酸钙和羟基磷灰石间隔物作为两阶段治疗过程的一部分，是治疗可能伴有感染、骨质和软组织缺损的复杂跟骨骨折的一种策略。
4级。
