Crosby L A, Fitzgibbons T
Division of Orthopaedic Surgery, Creighton University School of Medicine, Omaha, Nebraska 68131.
Clin Orthop Relat Res. 1993 May(290):47-54.
Thirty intraarticular calcaneal fractures were studied by computed tomography and then treated with a variety of closed methods. A classification of the fractures was devised according to the amount of displacement of the posterior facet. Follow-up evaluation showed that Type I fractures recovered function and healed extremely well. Closed treatment should be the treatment of choice for Type I fracture patterns. Type II and III fractures had unacceptable results with closed treatment. Alternate forms of treatment should be considered in dealing with more severely displaced fractures.
对30例跟骨关节内骨折进行了计算机断层扫描研究，然后采用多种闭合方法进行治疗。根据后关节面的移位程度设计了骨折分类。随访评估显示，I型骨折功能恢复良好且愈合极佳。闭合治疗应是I型骨折类型的首选治疗方法。II型和III型骨折采用闭合治疗效果不佳。在处理移位更严重的骨折时应考虑其他治疗方式。
