Ostapowicz G, Sateri F, Wessel G
Arch Orthop Trauma Surg (1978). 1978 Feb 10;91(1):11-8. doi: 10.1007/BF00383637.
A double study over a period of 40 years was undertaken--from 1935 to 1954 in Berlin and from 1955 to 1976 in Salzgitter--including a total of 393 fractures of the os calcis. The results of different types of treatment are presented. It is the type and severity of the fractures, not the way of treatment which determines the outcome. 161 patients have been followed clinically and radiologically at least 5 years after fracture of the os calcis. Third degree fractures were objectively and subjectively less favourable regardless of therapy. Active surgical treatment should be post-poned and consist in fusion of the subtalar joint.
进行了一项为期40年的双重研究——1935年至1954年在柏林，1955年至1976年在萨尔茨吉特——共纳入393例跟骨骨折。文中展示了不同治疗方式的结果。决定预后的是骨折的类型和严重程度，而非治疗方式。161例患者在跟骨骨折后至少接受了5年的临床和影像学随访。无论采用何种治疗，三度骨折在客观和主观上的预后都较差。积极的手术治疗应推迟进行，手术方式为距下关节融合术。
