Minimally-invasive treatment of calcaneal fractures: A review of the literature and our experience

被引:18
作者
Giannini, S. [1 ]
Cadossi, M. [2 ]
Mosca, M. [2 ]
Tedesco, G. [2 ]
Sambri, A. [2 ]
Terrando, S. [2 ]
Mazzotti, A. [2 ]
机构
[1] Univ Bologna, Ist Ortoped Rizzoli, Bologna, Italy
[2] Univ Bologna, Ist Ortoped Rizzoli, Clin Orthopaed & Traumatol 1, Bologna, Italy
来源
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED | 2016年 / 47卷
关键词
Calcaneal fractures; Hell fractures; Minimally invasive surgery; DISPLACED INTRAARTICULAR FRACTURES; SINUS TARSI APPROACH; PERCUTANEOUS REDUCTION; SURGICAL TECHNIQUE; INTERNAL-FIXATION; SUBTALAR ARTHROSCOPY; OPERATIVE TREATMENT; BALLOON REDUCTION; CLOSED REDUCTION; MANAGEMENT;
D O I
10.1016/j.injury.2016.07.050
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
The optimal treatment of calcaneal fractures (CF) is currently controversial and is still under debate. It is well established that conservative treatment of these fractures is associated with poor results. Several surgical techniques are described in the literature; however, there is no consensus on which of these is more effective. The main goals of surgery are to restore the subtalar joint congruence, and calcaneal width, height, shape and alignment, thus avoiding medial and lateral impingement and enabling the patient to resume a normal lifestyle. ORIF is the most popular technique for these fractures, but it is associated with high rates of wound complications, hardware failure and infections. Several minimally-invasive techniques have been developed recently for the treatment of CF, with the common aim to be as simple, effective and inexpensive as possible and to reduce surgical times, complications and length of hospital stay. (C) 2016 Elsevier Ltd. All rights reserved.
引用
收藏
页码:S138 / S146
页数:9
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