Hospital de Clinicas Caracas, Av Panteón, San Bernardino, Caracas 01050, Venezuela.
Hospital de Clinicas Caracas, Av Panteón, San Bernardino, Caracas 01050, Venezuela.
Foot Ankle Clin. 2020 Dec;25(4):667-681. doi: 10.1016/j.fcl.2020.08.003. Epub 2020 Sep 18.
Displaced intra-articular calcaneal fractures are among the most difficult articular fractures to treat, with a high rate of potential complications. Is important to restore calcaneus posterior facet anatomy as well as calcaneus width, length, and height. The extensile lateral approach provides excellent fracture visualization and allows reduction of the displaced fracture fragments, but high complication rate has been described with this approach, so many studies favor the sinus tarsi approach. Recent evidence favoring sinus tarsi rather than the extensile lateral approach has shifted opinion toward this less invasive approach, which can be considered the new gold standard.
跟骨关节内骨折是最难治疗的关节内骨折之一，存在很高的潜在并发症风险。重要的是恢复跟骨后关节面解剖结构以及跟骨的宽度、长度和高度。外侧延长入路可提供良好的骨折可视化效果，允许复位移位的骨折块，但该入路的并发症发生率较高，因此许多研究倾向于跗骨窦入路。最近跗骨窦入路优于外侧延长入路的证据使人们对这种微创入路的看法发生了转变，该入路可被视为新的金标准。
