Nair Gopikrishnan S, Razii Nima, Tan Ting Y, Carter Robert L, Bell Stuart W
Department of Trauma and Orthopaedics, Queen Elizabeth University Hospital, Glasgow, United Kingdom.
Trauma Case Rep. 2024 Sep 14;54:101096. doi: 10.1016/j.tcr.2024.101096. eCollection 2024 Dec.
Displaced avulsion fractures of the calcaneal tuberosity generally occur as a result of osteoporotic insufficiency or high-energy injuries. Conventional methods of fixation may be complicated by wound breakdown, metalwork failure, or symptomatic hardware. This is particularly relevant in elderly patients and those with comorbidities, including osteoporosis or diabetes. We describe an innovative technique using the TightRope Attachable Button System (ABS; Arthrex, Naples, FL, USA), adapted from suspensory cortical fixation in anterior cruciate ligament reconstruction, to treat displaced Beavis type II 'beak' calcaneal fractures in such patients. We present the case of a 67 year old female with multiple comorbidities, who successfully underwent this procedure, with no complications at 4 years follow-up.
跟骨结节移位性撕脱骨折通常由骨质疏松性骨量不足或高能损伤引起。传统的固定方法可能会因伤口裂开、金属植入物失效或植入物引起症状而变得复杂。这在老年患者以及患有合并症（包括骨质疏松症或糖尿病）的患者中尤为重要。我们描述了一种创新技术，使用从膝关节前交叉韧带重建中的悬吊皮质固定改编而来的TightRope可连接纽扣系统（ABS；美国佛罗里达州那不勒斯市的Arthrex公司），来治疗此类患者的移位性Beavis II型“喙状”跟骨骨折。我们报告了一例患有多种合并症的67岁女性患者，她成功接受了该手术，在4年的随访中无并发症发生。
