跟骨关节内骨折手术治疗中植骨方案的选择

The Choice of Bone Grafting in Surgical Treatment of IntraArticular Calcaneal Fracture

跟骨骨折是临床上最常见的跗骨骨折,随着经济的发展,其发生率渐增,而跟骨关节内骨折又是其中治疗较为困难的一种,针对跟骨关节内骨折的治疗愈发引起人们的重视。近年来随着对跟骨解剖结构及跟骨关节内骨折分型的研究,手术治疗跟骨关节内骨折成为主流。植骨是术中维持跟骨距下关节面的复位及骨折复位后跟骨体骨缺损处理的一种选择,但在植骨与否及植骨材料的选择中目前仍分歧较大,国内外未达成共识。文章着重针对跟骨关节内骨折的手术治疗中是否需要植骨及植骨材料的选择进行综述。

Calcaneal fracture is the most common tarsal fracture, with the development of economy, the incidence of intra-articular calcaneal fracture is increasing. Intra-articular calcaneal fracture is difficult to treat. More and more attention is paid to the treatment of intra-articular calcaneal fracture. In recent years, with the study of the anatomical stucture of the calcaneus and classification of intra-articular calcaneal fracture, surgical treatment of intra-articular calcaneal fracture has become the mainstream. Bone grafting is one of the options for the maintenance of the reduction of articular surface and the treatment of bone defect. However, there are still great differences in the selection of bone grafting and bone grafting materials, and no consensus has been reached both at home and abroad. In this paper, the selection of bone grafting and bone grafting materials is reviewed.