Wilkinson Brandon G, Marsh John Lawrence
Department of Orthopedics and Rehabilitation, University of Iowa Hospitals and Clinics, University of Iowa, 200 Hawkins Drive, Iowa City, IA 52242, USA.
Department of Orthopedics and Rehabilitation, University of Iowa Hospitals and Clinics, University of Iowa, 200 Hawkins Drive, Iowa City, IA 52242, USA.
Orthop Clin North Am. 2020 Jul;51(3):325-338. doi: 10.1016/j.ocl.2020.02.007. Epub 2020 Apr 16.
Minimally invasive surgical techniques are increasingly used for definitive treatment of displaced intra-articular calcaneal fractures. These approaches have been shown to minimize soft tissue injury, preserve blood supply, and decrease operative time. These methods can be applied to all calcaneal fractures and have particular advantages in patients with higher than usual risks to the soft tissues. The literature suggests that results of limited soft tissue dissection approaches provide equivalent outcomes to those obtained with the extensile lateral approach. We predict that as imaging and other techniques continue to improve, more calcaneal fractures will be treated by these appealing safer techniques.
微创外科技术越来越多地用于移位性关节内跟骨骨折的确定性治疗。这些方法已被证明可将软组织损伤降至最低,保留血供并缩短手术时间。这些方法可应用于所有跟骨骨折,对于软组织风险高于正常的患者具有特别优势。文献表明,有限软组织切开方法的结果与广泛外侧入路所获得的结果相当。我们预测,随着影像学和其他技术的不断改进,更多的跟骨骨折将通过这些更具吸引力的安全技术进行治疗。