开放性跟骨骨折围手术期治疗进展

Progress on perioperative treatment of open calcaneal fractures

开放性跟骨骨折常伴高能创伤,因后足解剖结构复杂,具有皮肤坏死、骨髓炎、骨缺损等并发症高发的特点。开放性跟骨骨折周围软组织破坏增加,不合理的措施可致伤口感染、骨髓炎甚至截肢。如何掌控软组织修复和骨折复位间的尺度,在恢复后足骨性结构和保存后足功能的基础上,最大限度保护周围软组织,降低感染率是治疗开放性跟骨骨折的关键,也是骨科医师面临的重大挑战。文章就近年开放性跟骨骨折围手术期治疗的相关研究进行综述。

Open calcaneal fractures are often accompanied by high energy trauma,because of the complex anatomy of the posterior foot,with the characteristics of high incidence of infection and other complications.Surrounding soft tissues damage increases in open calcaneal fractures,and improper handling can lead to wound infection,osteomyelitis,and even amputation,potentially damaging.How to seek the balance between repair of soft tissue damage and fracture reduction and internal fixation to recovery the posterior foot bone structure and save the hindfoot function based,and to maximize the protection of surrounding soft tissue,reduce the infection rate is the key to the treatment of open calcaneal fractures,orthopedics doctor is also facing great challenges.This review summarizes the relevant research and progress on perioperative infection control of open calcaneal fractures in recent years.