Sanders R, Gregory P
Florida Orthopaedic Institute, Tampa, USA.
Orthop Clin North Am. 1995 Apr;26(2):203-14.
Displaced intra-articular fractures of the calcaneus remain a diagnostic and therapeutic dilemma. The classification of these fractures has been frustrated in the past by limitations of radiographic technique. Because of our need to consistently analyze our results, a CT scan classification was developed, based on the number and location of articular fracture fragments. The authors have treated displaced intra-articular calcaneal fractures according to an operative protocol using a modified lateral approach, a new plate and lag screws, all without the use of bone graft. This article will discuss in depth the treatment options available as well as the controversies that surround them.
跟骨关节内移位骨折仍然是一个诊断和治疗难题。过去，由于放射学技术的局限性，这些骨折的分类一直存在困难。由于我们需要持续分析我们的结果，基于关节骨折碎片的数量和位置，开发了一种CT扫描分类方法。作者根据手术方案，采用改良外侧入路、新型钢板和拉力螺钉治疗移位的跟骨关节内骨折，均未使用骨移植。本文将深入讨论可用的治疗选择以及围绕这些选择的争议。
