摘要
开放性跟骨骨折相对少见,但多数损伤严重,具有潜在损毁性。治疗困难、处理不当可导致伤口感染、骨髓炎甚至截肢。保存和修复局部软组织覆盖、避免感染是治疗该病的关键,同时应尽可能恢复后足骨性结构的对位和对线,保存后足的功能。对不同类型的骨折,采取的措施应有所不同和侧重。影响疗效的因素包括损伤的严重程度、损伤部位及治疗措施等。本文综述了近几年来开放性跟骨骨折的诊治进展。
Open calcaneal fractures are relatively rare, but most of them are potentially devastating with severe injury of soft tissue and comminuted bone. Its management is still challenging and controversial. Improper treatment will l ead to wound infection, osteomyelitis and even amputation. Preservation or repai r of soft-tissue to partly cover the hindfoot is the most important factor for the treatment. Another important factor is to restore the alignment and function of the hindfoot. Variables in determining outcomes of different cases include s everity and type of injury, wound location and treatment options. It is suggeste d that different measures should be taken according to different types of injury . This article reviews the current development and progress in the diagnosis and treatment of open calcaneal fractures.
出处
《中华创伤骨科杂志》
CAS
CSCD
2005年第5期480-483,共4页
Chinese Journal of Orthopaedic Trauma
关键词
跟骨
骨折
开放性
内固定
Calcaneus
Fracture open
Internal fixation
