跟骨关节内骨折的微创治疗进展

被引：17

作者：

施忠民 ^{[1
,2
]}

蒋垚 ^{[1
,2
]}

机构：

[1] 苏州大学

[2] 上海市第六人民医院骨科

来源：

中华创伤骨科杂志 | 2012年 / 12期

关键词：

D O I：

暂无

中图分类号：

R687.3 [骨骼手术];

学科分类号：

100220 [骨科学];

摘要：

<正>目前对于跟骨关节内骨折的最佳治疗方法尚未达成共识,而经典的"L"型外侧扩大切口由于可彻底暴露跟骨、保护腓肠神经,以及降低腓骨肌腱炎的发病率,临床应用最为广泛。但该入路导致的软组织并发症发生率高。Folk等报告了190例跟骨骨折患者术后的软组织并发症发生率为25%,其中21%的患者需要二期手术。伤口软组织并发症严重影响了跟骨骨折手术治疗的最终疗效,甚至有些学者质疑了手术干预的必要性。但跟骨关节内骨折仍是手术治疗的绝对指征,因此,如何减

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