跟骨矫形截骨术在跟骨骨折畸形愈合治疗中的应用进展

Application of corrective calcaneal osteotomy in treatment of malunited calcaneal fractures

畸形愈合是跟骨骨折未治疗或不恰当的治疗所带来的一种常见并发症。改善患足疼痛、矫正畸形以及恢复患足功能是临床治疗跟骨骨折畸形愈合的目标,同时也是一大难点。基于近年来国内外学者对于跟骨畸形愈合所致症状的力学机制研究,各种截骨术作为可以特异性矫正跟骨畸形、恢复正常跟骨形态的一类术式,在跟骨畸形愈合的临床治疗中已经得到广泛应用。本文针对常用的各种跟骨矫形截骨术式技术特点、治疗效果及各自适应证和并发症进行综述。

Malunion is a common complication following a calcaneal fracture which was not treated or treated inappropriately.It is a therapeutic target and a great challenge as well to relieve pain,correct deformity and restore the function of the affected foot in clinical treatment of calcaneal malunion.As a result of researches by scholars at home and abroad focusing on the biomechanical mechanisms underlying the symptoms caused by calcaneal malunion,a variety of corrective calcaneal osteotomy has been widely applied in clinical practice to specifically correct the calcaneal deformity and restore normal calcaneal morphology.This review expounds on the techniques,outcomes,indications and complications of corrective calcaneal osteotomies commonly used in clinic.