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中华老年骨科与康复电子杂志 ›› 2023, Vol. 09 ›› Issue (02) : 88 -91. doi: 10.3877/cma.j.issn.2096-0263.2023.02.004

足部骨折

跟骨关节内移位骨折精准微创手术技术要点
秦士吉, 朱燕宾, 李计东, 陈伟, 付蕾, 杨思繁, 张奇(), 张英泽()   
  1. 050051 石家庄,河北医科大学第三医院足踝外科
    050051 石家庄,河北医科大学第三医院创伤急救中心;050051 石家庄,河北医科大学第三医院河北省骨科研究所
    050399 石家庄市西部医疗中心
    050051 石家庄,河北医科大学第三医院河北省骨科研究所
  • 收稿日期:2023-03-05 出版日期:2023-04-05
  • 通信作者: 张奇, 张英泽
  • 基金资助:
    国家自然科学基金(82102551)

Key technical points of precise minimally invasive surgery for displaced intra-articular calcaneal fractures

Shiji Qin, Yanbin Zhu, Jidong Li, Wei Chen, Lei Fu, Sifan Yang, Qi Zhang(), Yingze Zhang()   

  1. Department of Foot and Ankle Surgery, the Third Hospital of Hebei Medical University
    Trauma Emergency Center, the Third Hospital of Hebei Medical University; Hebei Institute of Orthopedics, the Third Hospital of Hebei Medical University
    Shijiazhuang West Medical Center, Shijiazhuang 050051, China
    Hebei Institute of Orthopedics, the Third Hospital of Hebei Medical University
  • Received:2023-03-05 Published:2023-04-05
  • Corresponding author: Qi Zhang, Yingze Zhang
引用本文:

秦士吉, 朱燕宾, 李计东, 陈伟, 付蕾, 杨思繁, 张奇, 张英泽. 跟骨关节内移位骨折精准微创手术技术要点[J]. 中华老年骨科与康复电子杂志, 2023, 09(02): 88-91.

Shiji Qin, Yanbin Zhu, Jidong Li, Wei Chen, Lei Fu, Sifan Yang, Qi Zhang, Yingze Zhang. Key technical points of precise minimally invasive surgery for displaced intra-articular calcaneal fractures[J]. Chinese Journal of Geriatric Orthopaedics and Rehabilitation(Electronic Edition), 2023, 09(02): 88-91.

精准、微创手术已经成为跟骨关节内移位骨折手术治疗的主流趋势,但目前缺乏对精准微创技术要点的详细描述性研究。本文通过图文结合的方式,将跟骨关节内移位骨折精准微创手术技术三部分要点,包括闭合复位技术、纵行小切口入路以及自定位跟骨导航板精准植入,进行详细阐述,以期为临床创伤骨科或足踝外科医师更好地了解、掌握、应用精准微创手术技术提供参考。

Precise and minimally invasive surgery have become the mainstream trend for the surgical treatment of displaced intra-articular calcaneal fractures, but there is a lack of detailed descriptive research on the key points of precise andminimally invasive techniques. In this paper, three key points of precise minimally invasive surgery techniques for displaced intra-articular calcaneus fractures, including closed reduction technique, longitudinal small incision approach and precise implantation of self-positioning calcaneus navigation osteosynthesis plate, are described in detail by means of combination of pictures and text, in order to provide useful information for clinical orthopedic trauma surgeons or foot and ankle surgeons to better understand, master and apply precise minimally invasive surgery techniques.

图4 切口示意图
图9~16 男性,49岁,高处坠落摔伤导致左侧跟骨骨折(Sanders Ⅱ型),接受了闭合复位、微创纵行小切口入路进行跟骨自定位导航板的植入固定。图9~10 侧位及轴位X线确认左侧跟骨骨折;图11~12 CT扫描确认为SandersⅡ型骨折术前CT;图13~14 患者于伤后7天接受了闭合复位、微创纵行小切口入路行跟骨自定位导航板的植入固定术;图15~16 术后即刻拍片显示跟骨解剖形态及关节面平整性满意
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