Rodgers J A, Fitzgibbons T C, Crosby L A
Creighton/Nebraska Health Foundation, Orthopaedic Residency Program, USA.
Nebr Med J. 1995 Jun;80(6):140-5.
The treatment of displaced intraarticular fractures of the calcaneus continues to challenge the orthopaedic community. The recent development of prognostic classification systems based on computerized tomography has clarified the roles of non-operative and operative treatment. It has also opened the door for further prospective study of the appropriate treatment of this injury and comparison of operative methods. Based on current literature and our experience, we recommend CT evaluation of all intraarticular fractures of the os calcis in patients who are operative candidates with treatment guided by fracture classification.
跟骨关节内移位骨折的治疗一直困扰着骨科界。基于计算机断层扫描的预后分类系统的最新发展明确了非手术和手术治疗的作用。这也为进一步前瞻性研究该损伤的恰当治疗方法以及比较手术方式打开了大门。基于当前的文献和我们的经验，我们建议对所有拟行手术治疗的跟骨关节内骨折患者进行CT评估，并根据骨折分类进行治疗。
