Lowery R B, Calhoun J H
Charleston Bone and Joint, South Carolina 29401, USA.
Foot Ankle Int. 1996 Jun;17(6):360-6. doi: 10.1177/107110079601700612.
Extra-articular fracture management of the calcaneus is well accepted. Despite advancements, there is still no consensus on the treatment of intra-articular calcaneal fractures. Although the results of open reduction and internal fixation appear promising, evaluation is difficult because there is no universally accepted classification system. We believe that a consensus is developing for the evaluation, staging, and treatment of the acute calcaneus fracture and its chronic problems. Advancements in the understanding of the anatomy, injury mechanism, and classification of calcaneal fractures were presented in Part I (Foot & Ankle International, 17(4):230-235, 1996). Treatment of displaced intra-articular fractures gives superior results when anatomic reduction of the subtalar joint is achieved.
跟骨的关节外骨折处理已得到广泛认可。尽管取得了进展，但对于关节内跟骨骨折的治疗仍未达成共识。虽然切开复位内固定的结果看起来很有前景，但由于没有普遍接受的分类系统，评估很困难。我们认为，对于急性跟骨骨折及其慢性问题的评估、分期和治疗正在形成共识。第一部分（《足与踝关节国际》，1996年，第17卷第4期：230 - 235页）介绍了在跟骨骨折的解剖学、损伤机制和分类认识方面的进展。当距下关节实现解剖复位时，移位关节内骨折的治疗能取得更好的效果。
