Huggler A H, Gianella F V
Z Orthop Ihre Grenzgeb. 1979 Apr;117(2):191-201.
The instable fractures of os calcis are usually treated by conservative methods with early functional mobilization. In a few cases we think that in the Tongue Type and especially in the Joint Depression Type of Essex-Lopresti a surgical treatment may be useful to reestablish the congruence and the gometry of the joint surfaces. Some typical cases are described. Even if this active treatment of fractures of the os calcis may be generally regarded as hazardous, we think that especially in young selected individuals an operative anatomical reduction and stable fixation may be appropriate.
跟骨不稳定骨折通常采用保守方法治疗并早期进行功能活动。在少数情况下，我们认为对于埃塞克斯-洛普雷斯蒂分型中的舌形骨折，尤其是关节面塌陷型骨折，手术治疗可能有助于恢复关节面的一致性和几何形态。文中描述了一些典型病例。即使跟骨骨折的这种积极治疗通常被认为具有危险性，但我们认为，特别是对于经过挑选的年轻患者，进行手术解剖复位和稳定固定可能是合适的。
