摘要
跟骨是最易发生骨折的足部跗骨，跟骨骨折占全身骨折的1％-2％，其中累及距下关节的称为关节内骨折，其主要的损伤机制和高能量的轴向应力有关，对于此类骨折文献报道通常建议采用切开复位内固定的方法进行治疗。载距突从跟骨体内侧中部1／3凸出，因其骨质坚韧且位置与距骨相对固定，所以常作为手术时螺钉的固定部位。因此，了解载距突的解剖特点对于跟骨关节内骨折的治疗尤为重要。本文详细地介绍了载距突的骨性测量数据，包括长宽高和各种角度，及其周围软组织的附着和走行情况，同时探讨了这些解剖特征与跟骨关节内骨折分型和治疗的相关性，以期为临床行跟骨骨折的手术治疗提供一定的理论参考。
The calcaneus is the most commonly fractured tarsal bone, calcaneal fracture comprises 2% of all fractures, the primary mechanism of injury involves a high energy axial load. To get a better outcome, the literature review recommends the use of Open Reduction and Internal Fixation （ORIF） for this kind of injury. Sustentaculum tali is a triangular projection from the medial surface of the caleaneus, it possesses strong trabecular structure and thick cortex, and it＇s thought to remain tightly bound to the talus by ligaments and muscle tendons nearby ,that- why it＇s often used as a constant fragment to which other fracture fragments are reduced to restore congruity of the subtalar joint. Hence, it＇s important to understand the anatomic features of sustentaculum tali. In this article, we describes the anatomic measurements of the sustentaculum tali including the size, angle and soft tissue nearby, and described the correlation between these anatomic features and intra-articalar calcaneal fractures. We are hoping that we can provide theoretical reference to the clinical treatment of calcaneal fractures.
作者
李振东
施忠民
Li Zhendong;Shi Zhongmin(Department of Orthopedics,Shanghai Jiao Tong University Affiliated Sixth People＇s Hospital,Shanghai 200233,China)
出处
《国际外科学杂志》
2018年第11期789-792,共4页
International Journal of Surgery
关键词
跟骨
解剖学
关节内骨折
外科手术
Calcaneus
Anatomy
Intra-articular fractures
Surgical procedures
operative
