Quattrini Fabrizio, Ciatti Corrado, Gattoni Serena, Puma Pagliarello Calogero, Ceccarelli Francesco, Maniscalco Pietro
Orthopaedic and Traumatology Department, Ospedale Guglielmo da Saliceto, 29121 Piacenza, Italy.
Department of Medicine and Surgery, Orthopedic Clinic, University Hospital of Parma, 43100 Parma, Italy.
J Funct Morphol Kinesiol. 2021 Dec 6;6(4):99. doi: 10.3390/jfmk6040099.
Clear recommendations about the optimal treatment of traumatic tarsal navicular fractures are still very debated in the literature, and this is due to several factors: navicular fractures are rare and often misdiagnosed injuries, they are frequently associated with other fractures or a dislocation of the midfoot, and the current knowledge is based on few papers mainly considering a limited number of cases and dealing with different therapeutic approaches. The treatment of navicular body fractures is controversial and burdened by a high incidence of complications; in particular, Sangeorzan type III comminuted fractures represent a real challenge for the orthopedic surgeon. An accurate preoperative planning, a scrupulous surgical technique aimed at restoring volume and bony anatomy, and the use of low-profile angular-stability plates can lead to optimal clinical and functional results, decreasing the chances of arthritic evolution of mid-foot joints.
关于创伤性舟状骨骨折的最佳治疗方法，目前尚无明确的建议，这在文献中仍存在很大争议，原因有以下几点：舟状骨骨折较为罕见，且常被误诊；它们常与其他骨折或中足脱位相关联；目前的认知主要基于少数论文，这些论文大多只考虑了有限数量的病例，且涉及不同的治疗方法。舟状骨体部骨折的治疗存在争议，且并发症发生率较高；特别是Sangeorzan III型粉碎性骨折对骨科医生来说是一个真正的挑战。精确的术前规划、旨在恢复体积和骨解剖结构的严谨手术技术，以及使用低轮廓角稳定钢板，可带来最佳的临床和功能效果，减少中足关节发生关节炎演变的几率。
