[Progress of treatments for old calcaneal fractures]

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2017 Oct 15;31(10):1273-1277. doi: 10.7507/1002-1892.201703108.
[Article in Chinese]

Abstract

Objective: To review the progress of treatments for old calcaneal fractures.

Methods: The related literature of treatments for old calcaneal fractures were reviewed and analyzed from the aspects such as the pathoanatomy, classifications, and surgical treatments.

Results: Old calcaneal fractures are common in clinical, the anatomical changes are very complicated. In addition to classical open reduction and internal fixation, arthrodesis, and osteotomy, techniques of minimally invasive operation, external fixator, and three-dimensional printing are more and more widely applied, treatments for old calcaneal fractures nonunion have also received increasing attention.

Conclusion: Although the perfect strategy for treating old calcaneal fractures has not yet been developed, great progress has been achieved recently, the personalized therapy need to be further studied, and therapies for the early stage old calcaneal fractures and old calcaneal fractures nonunion need to be further explored.

目的: 对陈旧性跟骨骨折的治疗及进展进行综述。.

方法: 广泛查阅近年国内外陈旧性跟骨骨折治疗的相关文献,从病理解剖、分型、手术方法等方面进行总结分析。.

结果: 陈旧性跟骨骨折在临床上较为常见,其解剖改变是多方面的,因此其手术治疗方法呈多样性。除经典的切开复位内固定、关节融合及截骨矫形术式外,微创技术、外固定支架、3-D 打印等技术的应用越来越广泛,对陈旧性跟骨骨折不愈合的治疗也得到越来越多关注。.

结论: 陈旧性跟骨骨折的最佳治疗策略尚无定论,但近年来取得了长足发展。个体化治疗仍值得更深入研究,对于早期陈旧性跟骨骨折以及陈旧性跟骨骨折不愈合的治疗也需要进一步探讨。.

Keywords: Old calcaneal fracture; malunion of fracture; nonunion of fracture; progress of treatment.

Publication types

  • Review

MeSH terms

  • Ankle Injuries / therapy*
  • Calcaneus / injuries*
  • Foot Injuries
  • Fracture Fixation, Internal*
  • Fractures, Bone / therapy*
  • Treatment Outcome