Department of Orthopedic Surgery, Jamaica Hospital Medical Center, Richmond Hill, NY; and.
Department of Orthopedic Surgery, NYU Langone Health, New York, NY.
J Orthop Trauma. 2022 Aug 1;36(Suppl 3):S27-S28. doi: 10.1097/BOT.0000000000002392.
We present the surgical technique for arthrodesis of the subtalar and calcaneocuboid joints of a Sanders type IV calcaneal fracture nonunion via a distraction bone block arthrodesis technique with tricortical iliac crest allograft combined with reamer/irrigator/aspirator autograft from the patient's femur. A lateral extensile approach to the calcaneus was used for the exposure, which allowed the surgeon to follow the stepwise complex surgical plan outlined here. Calcaneal nonunions are difficult to treat, but good outcomes can be achieved if proper technique with bone grafting is used.
我们介绍了一种通过分散骨块关节融合技术治疗 Sanders Ⅳ型跟骨骨折不愈合的手术技术，该技术使用三叶髂骨移植物结合患者股骨的扩髓冲洗吸引器自体骨进行距下关节和跟骰关节融合。外侧伸肌入路用于暴露跟骨，这使外科医生能够按照这里概述的逐步复杂的手术计划进行操作。跟骨不愈合较难治疗，但如果采用适当的植骨技术，可获得良好的效果。
