采用多根克氏针锚固技术治疗足跟垫部分撕脱伤——病例报告
Management of Partial Heel Pad Avulsion using Multiple Kirschner wire Anchorage Technique - Case Report.
作者信息
Kantharaju H, Gupta Devanshu, Kandan Veena, Rai Abhishek, Bandebuche Ajinkya Ramesh
机构信息
Department of Orthopaedic Surgery, Government Medical College, Nagpur, Maharashtra, India.
Department of Orthopaedic Surgery, Lokmanya Tilak Municipal Medical College and Sion Hospital, Mumbai, Maharashtra, India.
出版信息
J Orthop Case Rep. 2022 Jun;12(6):99-101. doi: 10.13107/jocr.2022.v12.i06.2884.
INTRODUCTION
Isolated Partial Heel pad injuries are very rare and management of heel pad injury is always a challenge to a surgeon because of its complex structure and precious blood supply. The goal of management is to preserve a viable heel pad for weight-bearing during normal gait.
CASE REPORT
A 46-year-old male sustained a right heel pad avulsion following motorcycle bike ac-cident. Examination showed contaminated wound, viable heel pad, and no bony injury. Within 6 h of trauma, we reattached partial heel pad avulsion using multiple Kirschner wires without wound closure and daily dressings. Full weight bearing started on 12th post-operative week.
CONCLUSION
A partial heel pad avulsion can be managed using multiple Kirschner wire which is cost-effective and simple method. Partial-thickness avulsion injury has a better prognosis as com-pared to full-thickness heel pad avulsion injury, due to preserved periosteal blood supply.
引言
孤立性足跟垫部分损伤非常罕见，由于其结构复杂且血供珍贵，足跟垫损伤的处理对外科医生来说始终是一项挑战。处理的目标是保留一个有活力的足跟垫，以便在正常步态中负重。
病例报告
一名46岁男性在摩托车事故后发生了右足跟垫撕脱伤。检查显示伤口有污染，足跟垫有活力，且无骨损伤。在创伤后6小时内，我们使用多根克氏针重新附着了部分足跟垫撕脱伤，未进行伤口缝合和每日换药。术后第12周开始完全负重。
结论
部分足跟垫撕脱伤可采用多根克氏针处理，这是一种经济有效且简单的方法。由于保留了骨膜血供，与全层足跟垫撕脱伤相比，部分厚度撕脱伤的预后更好。
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