Amendola A, Lammens P
Division of Orthopaedic Surgery, University Hospital, University of Western Ontario, London, Canada.
Foot Ankle Int. 1996 Oct;17(10):608-14. doi: 10.1177/107110079601701004.
Fifteen consecutive patients with hindfoot pain after calcaneal fracture underwent subtalar arthrodesis using interposition iliac crest bone graft. Outcome and correction of calcaneal collapse were assessed before and after surgery with clinical examination, visual analogue scores, and standard x-rays while weightbearing. Eleven of the 15 patients were satisfied with the procedure. There were four failures due to transverse tarsal joint arthritis, overcorrection, and reflex sympathetic dystrophy. Radiographic examination revealed restoration of heel height, with 100% union rate of the arthrodesis. The described technique allows arthrodesis and correction of calcaneal collapse after calcaneal fracture.
15例跟骨骨折后出现后足疼痛的连续患者接受了使用髂嵴骨移植的距下关节融合术。在手术前后通过临床检查、视觉模拟评分和负重时的标准X线片对跟骨塌陷的结果和矫正情况进行评估。15例患者中有11例对该手术满意。有4例失败，原因是跗横关节关节炎、过度矫正和反射性交感神经营养不良。影像学检查显示足跟高度恢复，关节融合的愈合率为100%。所描述的技术可实现跟骨骨折后的关节融合和跟骨塌陷的矫正。
