跟骨骨折微创手术治疗进展及展望
Progress and prospects of minimally invasive surgery for calcaneal fractures
马昕 1施忠民 1陈亦轩1
作者信息
- 1. 上海交通大学医学院附属第六人民医院骨科,上海 200233
- 折叠
摘要
跟骨骨折是一种常见的足部损伤,通常由高能量损伤所致.其解剖结构的特殊性及术后较高的并发症发生率给治疗带来一定的难度.对于有移位的跟骨关节内骨折,首选手术治疗.随着骨科微创手术技术的发展,其在跟骨骨折领域的应用增多.与传统开放手术比较,微创手术可以减少软组织损伤及术中出血量,在保证骨折复位及固定效果的同时,有效降低软组织并发症发生率.对于不同类型的跟骨骨折,其最理想的微创手术方法选择尚存争议.同时,随着数智技术的日趋成熟,其在跟骨骨折微创手术治疗中亦扮演重要角色.本文就近年来跟骨骨折微创手术治疗技术的发展及展望进行述评.
Abstract
Calcaneal fractures,common foot injuries often resulting from high-energy trauma,pose significant challenges due to their specific anatomical structure and high incidence of postoperative complications.Surgical intervention is typically preferred for displaced intra-articular calcaneal fractures.With the development of minimally invasive orthopedic techniques,the application of minimally invasive surgery in calcaneal fractures has increased.Compared to traditional open surgery,minimally invasive surgery can reduce soft tissue damage and intraoperative bleeding,and effectively reduce the incidence of soft tissue complications while ensuring the efficacy of fracture reduction and fixation.However,the optimal minimally invasive approach varies depending on the specific type of calcaneal fracture,leading to ongoing debate in the field.Moreover,with the increasing maturity of digital orthopedic technology,it has gradually played a critical role in minimally invasive surgical techniques for calcaneal fractures.This article reviews the development and prospects of minimally invasive surgical techniques for treating calcaneal fractures in recent years.
关键词
跟骨骨折/骨折固定/微创治疗/数智技术Key words
Calcaneal Fractures/Fracture Fixation/Minimally Invasive Surgery/Digital Orthopedics引用本文复制引用
基金项目
国家重点研发计划(2022YFC2009500)
出版年
2024
NETL
NSTL
万方数据