微创技术在治疗跟骨骨折中的应用进展  

APPLICATION PROGRESS OF MINIMALLY INVASIVE TECHNIQUE IN TREATMENT OF CALCANEUS FRACTURES

作　　者：于涛[1] 杨云峰[1] 俞光荣[1] 

机构地区：[1]同济大学附属同济医院骨科,上海200065

出　　处：《中国修复重建外科杂志》2013年第2期236-239,共4页Chinese Journal of Reparative and Reconstructive Surgery

基　　金：国家自然科学基金资助项目(30801163)~~

摘　　要：目的总结微创技术在治疗跟骨骨折中的应用进展,分析总结各种方法的优缺点及进一步研究方向。方法查阅近年来国内外各种微创技术治疗跟骨骨折的相关文献,进行综合分析。结果经皮撬拨复位内固定、小切口、外固定支架、关节镜辅助下复位、经皮球囊扩张复位等各种微创技术在治疗跟骨骨折中各有优点和局限性,但各项技术均发展迅速,日趋成熟。结论多种微创方法在治疗跟骨骨折中不仅可单独操作,也可联合使用。如何在提高疗效的基础上进一步扩大适应证,并从循证医学的角度提供理论依据,有待进一步研究。Objective To review the application progress of minimally invasive technique in the treatment of calcaneus fractures and to analyze the advantages and disadvantages of each method as well as to predict the trend of development in the field. Methods Domestic and abroad literature concerning the minimally invasive technique applied in calcaneus fractures in recent years was reviewed extensively and analyzed thoroughly. Results There are both advantages and limitations of each minimally invasive technique including percutaneous reduction and fixation, limited incision, external fixator, arthroscopic assisted reduction, and balloon expansion reduction. But every technique is developing rapidly and becoming more and more effective. Conclusion A variety of minimally invasive technique can not only be used independently but also can be applied jointly to complement one another. It needs further study how to improve the effectiveness and expand the indications. And the theoretical basis of evidence-based medicine needs to be provided more.

关 键 词：微创技术 跟骨骨折 手术治疗 

分 类 号：R687.3[医药卫生—骨科学]