切换至 "中华医学电子期刊资源库"

中华损伤与修复杂志(电子版) ›› 2017, Vol. 12 ›› Issue (01) : 61 -64. doi: 10.3877/cma.j.issn.1673-9450.2017.07.011

所属专题: 文献

综述

开放性跟骨骨折围手术期治疗进展
曾海涛1, 刘世清1,(), 吴飞1, 邓明1, 邱波1, 何启艇1   
  1. 1. 430060 武汉大学人民医院骨科
  • 收稿日期:2016-12-03 出版日期:2017-02-01
  • 通信作者: 刘世清
  • 基金资助:
    国家自然基金青年项目(81301052); 湖北省自然科学基金项目(2014CFB207)

Progress on perioperative treatment of open calcaneal fractures

Haitao Zeng1, Shiqing Liu1,(), Fei Wu1, Ming Deng1, Bo Qiu1, Qiting He1   

  1. 1. Department of Orthopedics, Renmin Hospital of Wuhan University, Wuhan 430060, China
  • Received:2016-12-03 Published:2017-02-01
  • Corresponding author: Shiqing Liu
  • About author:
    Corresponding author: Liu Shiqing, Email:
引用本文:

曾海涛, 刘世清, 吴飞, 邓明, 邱波, 何启艇. 开放性跟骨骨折围手术期治疗进展[J/OL]. 中华损伤与修复杂志(电子版), 2017, 12(01): 61-64.

Haitao Zeng, Shiqing Liu, Fei Wu, Ming Deng, Bo Qiu, Qiting He. Progress on perioperative treatment of open calcaneal fractures[J/OL]. Chinese Journal of Injury Repair and Wound Healing(Electronic Edition), 2017, 12(01): 61-64.

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.

1
胥少汀,葛宝丰,徐印坎. 实用骨科学[M]. 北京:人民军医出版社,2014: 1073-1077.
2
Firoozabadi R, Kramer PA, Benirschke SK. Plantar medial wounds associated with calcaneal fractures[J]. Foot Ankle Int, 2013, 34(7): 941-948.
3
Loutzenhiser L, Lawrence SJ, Donegan RP. Treatment of select open calcaneus fractures with reduction and internal fixation: an intermediate-term review[J]. Foot Ankle Int, 2008, 29(8): 825-830.
4
Harvey EJ, Grujic L, Early JS, et al. Morbidity associated with ORIF of intra-articular calcaneus fractures using a lateral approach[J]. Foot Ankle Int, 2001, 22(11): 868-873.
5
Weber M, Lehmann O, Sägesser D, et al. Limited open reduction and internal fixation of displaced intra-articular fractures of the calcaneum[J]. J Bone Joint Surg Br, 2008, 90(12): 1608-1616.
6
Guerado E, Bertrand ML, Cano JR. Management of calcaneal fractures: what have we learnt over the years[J]. Injury, 2012, 43(10): 1640-1650.
7
张春,崔海宁,郭峭峰,等. 足踝部创伤后严重复合组织缺损感染创面的修复[J].中华创伤骨科杂志,2012, 14(10): 859-862.
8
Goos J, Kwiatkowski K, Piekarczyk P, et al. Long-term Results of Operative Treatment of Calcaneal Fractures[J]. Ortop Traumatol Rehabil, 2015, 17(2): 163-174.
9
Backes M, Schepers T, Beerekamp MS, et al. Wound infections following open reduction and internal fixation of calcaneal fractures with an extended lateral approach[J]. Int Orthop, 2014, 38(4): 767-773.
10
姚琦,仇永辉,祝孟海,等. 跟骨骨折术后切口并发症的分析及预防策略[J]. 中华创伤骨科杂志,2015, 17(9): 757-760.
11
Worsham JR, Elliott MR, Harris AM. Open Calcaneus Fractures and Associated Injuries[J]. J Foot Ankle Surg, 2016, 55(1): 68-71.
12
Zhang T, Yan Y, Xie X, et al. Minimally Invasive Sinus Tarsi Approach With Cannulated Screw Fixation Combined With Vacuum-Assisted Closure for Treatment of Severe Open Calcaneal Fractures With Medial Wounds[J]. J Foot Ankle Surg, 2016, 55(1): 112-116.
13
Wiersema B, Brokaw D, Weber T, et al. Complications associated with open calcaneus fractures[J]. Foot Ankle Int, 2011, 32(11): 1052-1057.
14
徐生根,肖坚,吴维剑. 软组织损伤评估处理对跟骨骨折术后感染的意义[J]. 中国中西医结合外科杂志,2016, 22(1): 21-23.
15
Heier KA, Infante AF, Walling AK, et al. Open fractures of the calcaneus: soft-tissue injury determines outcome[J]. J Bone Joint Surg Am, 2003, 85-A(12): 2276-2282.
16
唐三元. 开放性跟骨骨折[J]. 中国矫形外科杂志,2007, 15(2): 113-116.
17
Benirschke SK, Kramer PA. Wound healing complications in closed and open calcaneal fractures[J]. J Orthop Trauma, 2004, 18(1): 1-6.
18
Lawrence SJ. Open calcaneal fractures[J]. Orthopedics, 2004, 27(7): 737-741.
19
Mehta S, Mirza AJ, Dunbar RP, et al. A staged treatment plan for the management of Type II and Type IIIA open calcaneus fractures[J]. J Orthop Trauma, 2010, 24(3): 142-147.
20
朱永展,李逸群,吴峰,等. 早期清创复位克氏针内固定与Ⅱ期钢板内固定治疗开放性跟骨骨折的病例对照研究[J]. 中国骨伤,2012, 25(2): 103-108.
21
孟庆汀,王庆贤,张英泽,等. 开放性跟骨骨折诊疗进展[J]. 中华解剖与临床杂志,2016, 21(4): 364-367.
22
龚晓峰,武勇,王岩,等. 开放性跟骨骨折的早期规范化治疗[J]. 中华创伤杂志,2008, 24(5): 331-335.
23
王庆贤,孟庆汀,张英泽,等. GustiloⅡ、ⅢA型开放性跟骨骨折的手术治疗[J]. 中华创伤骨科杂志,2014, 16(6): 480-485.
24
Aldridge JM 3rd, Easley M, Nunley JA. Open calcaneal fractures: results of operative treatment[J]. J Orthop Trauma, 2004, 18(1): 7-11.
25
Zeman P, Zeman J, Matejka J, et al. [Long-term results of calcaneal fracture treatment by open reduction and internal fixation using a calcaneal locking compression plate from an extended lateral approach][J]. Acta Chir Orthop Traumatol Cech, 2008, 75(6): 457-464.
26
Sanders R, Vaupel ZM, Erdogan M, et al. Operative treatment of displaced intraarticular calcaneal fractures: long-term (10-20 Years) results in 108 fractures using a prognostic CT classification[J]. J Orthop Trauma, 2014, 28(10): 551-563.
27
燕晓宇,俞光荣. 开放性跟骨骨折的诊治进展[J]. 中华创伤骨科杂志,2005, 7(5): 480-483.
28
俞光荣,赵宏谋,周家钤,等. 开放性跟骨骨折的手术治疗[J]. 中国骨伤,2010, 23(11): 804-808.
29
Mostafa MF, El-Adl G, Hassanin EY, et al. Surgical treatment of displaced intra-articular calcaneal fracture using a single small lateral approach[J]. Strategies Trauma Limb Reconstr, 2010, 5(2): 87-95.
30
Haddad M, Horesh Z, Soudry M, et al. Surgical treatment of calcaneal comminuted intrarticular fractures: long-term follow-up[J]. Open J Clin Diagn, 2014, 4(3): 117-122.
31
Geel CW, Flemister AS Jr. Standardized treatment of intra-articular calcaneal fractures using an oblique lateral incision and no bone graft[J]. J Trauma, 2001, 50(6): 1083-1089.
32
Dewall M, Henderson CE, Mckinley TO, et al. Percutaneous reduction and fixation of displaced intra-articular calcaneus fractures[J]. J Orthop Trauma, 2010, 24(8): 466-472.
33
高堂成,张春才,张庆宏,等. 跟骨关节内骨折内固定手术并发症分析[J]. 中华骨科杂志,2005, 25(1): 41-45.
34
Berry GK, Stevens DG, Kreder HJ, et al. Open fractures of the calcaneus: a review of treatment and outcome[J]. J Orthop Trauma, 2004, 18(4): 202-206.
35
Siebert CH, Hansen M, Wolter D. Follow-up evaluation of open intra-articular fractures of the calcaneus[J]. Arch Orthop Trauma Surg, 1998, 117(8): 442-447.
36
曾林如,汤样华,徐灿达,等. 分期手术应用带抗生素的人工骨植骨治疗开放性跟骨骨折[J]. 中国骨伤,2014, 27(7): 540-544.
37
Zhang X, Liu Y, Peng A, et al. Clinical efficacy and prognosis factors of open calcaneal fracture: a retrospective study[J]. Int J Clin Exp Med, 2015, 8(3): 3841-3847.
38
Mouës CM, Vos MC, van den Bemd GJ, et al. Bacterial load in relation to vacuum-assisted closure wound therapy: a prospective randomized trial[J]. Wound Repair Regen, 2004, 12(1): 11-17.
39
张弛,安智全,于晓雯,等. 有限内固定结合负压封闭引流技术治疗严重开放性跟骨骨折的初步经验[J]. 中华创伤骨科杂志,2010, 12(5): 496-498.
40
Thornton SJ, Cheleuitte D, Ptaszek AJ, et al. Treatment of open intra-articular calcaneal fractures: evaluation of a treatment protocol based on wound location and size[J]. Foot Ankle Int, 2006, 27(5): 317-323.
41
王锐英,胡军祖,辛林伟,等. 带蒂股后皮神经营养血管皮瓣修复足跟及小腿下段大面积软组织缺损[J]. 中华显微外科杂志,2008, 31(6): 449-450.
42
柴益民,林崇正,邱勋永,等. 带皮穿支血管的皮神经营养血管皮瓣的临床应用[J]. 中华整形外科杂志,2006, 22(1): 34-37.
[1] 农云洁, 黄小桂, 黄裕兰, 农恒荣. 超声在多重肺部感染诊断中的临床应用价值[J/OL]. 中华医学超声杂志(电子版), 2024, 21(09): 872-876.
[2] 史学兵, 谢迎东, 谢霓, 徐超丽, 杨斌, 孙帼. 声辐射力弹性成像对不可切除肝细胞癌门静脉癌栓患者放射治疗效果的评价[J/OL]. 中华医学超声杂志(电子版), 2024, 21(08): 778-784.
[3] 李华志, 曹广, 刘殿刚, 张雅静. 不同入路下行肝切除术治疗原发性肝细胞癌的临床对比[J/OL]. 中华普外科手术学杂志(电子版), 2025, 19(01): 52-55.
[4] 陈浩, 王萌. 胃印戒细胞癌的临床病理特征及治疗选择的研究进展[J/OL]. 中华普外科手术学杂志(电子版), 2025, 19(01): 108-111.
[5] 刘柏隆, 周祥福. 压力性尿失禁阶梯治疗的项目介绍[J/OL]. 中华腔镜泌尿外科杂志(电子版), 2025, 19(01): 125-125.
[6] 刘柏隆. 女性压力性尿失禁阶梯治疗之手术治疗方案选择[J/OL]. 中华腔镜泌尿外科杂志(电子版), 2025, 19(01): 126-126.
[7] 皮尔地瓦斯·麦麦提玉素甫, 李慧灵, 艾克拜尔·艾力, 李赞林, 王志, 克力木·阿不都热依木. 生物补片修补巨大复发性腹壁切口疝临床疗效分析[J/OL]. 中华疝和腹壁外科杂志(电子版), 2024, 18(06): 624-628.
[8] 顾熙, 徐子宇, 周澍, 张吴楼, 张业鹏, 林昊, 刘宗航, 嵇振岭, 郑立锋. 腹股沟疝腹膜前间隙无张力修补术后补片感染10 例报道[J/OL]. 中华疝和腹壁外科杂志(电子版), 2024, 18(06): 665-669.
[9] 臧宇, 姚胜, 朱新勇, 戎世捧, 田智超. 低温等离子射频消融治疗腹壁疝术后补片感染的临床效果[J/OL]. 中华疝和腹壁外科杂志(电子版), 2024, 18(06): 687-692.
[10] 贾玲玲, 滕飞, 常键, 黄福, 刘剑萍. 心肺康复在各种疾病中应用的研究进展[J/OL]. 中华临床医师杂志(电子版), 2024, 18(09): 859-862.
[11] 颜世锐, 熊辉. 感染性心内膜炎合并急性肾损伤患者的危险因素探索及死亡风险预测[J/OL]. 中华临床医师杂志(电子版), 2024, 18(07): 618-624.
[12] 崔军威, 蔡华丽, 胡艺冰, 胡慧. 亚甲蓝联合金属定位夹及定位钩针标记在乳腺癌辅助化疗后评估腋窝转移淋巴结的临床应用价值探究[J/OL]. 中华临床医师杂志(电子版), 2024, 18(07): 625-632.
[13] 王誉英, 刘世伟, 王睿, 曾娅玲, 涂禧慧, 张蒲蓉. 老年乳腺癌新辅助治疗病理完全缓解的预测因素分析[J/OL]. 中华临床医师杂志(电子版), 2024, 18(07): 641-646.
[14] 张平骥, 徐钰, 李天水, 庞文翼, 符师宁, 张梦圆. 重症患者镇静治疗现状及期望的调查研究[J/OL]. 中华临床医师杂志(电子版), 2024, 18(06): 562-567.
[15] 王昌前, 林婷婷, 宁雨露, 王颖杰, 谭文勇. 光免疫治疗在肿瘤领域的临床应用新进展[J/OL]. 中华临床医师杂志(电子版), 2024, 18(06): 575-583.
阅读次数
全文


摘要


AI


AI小编
你好!我是《中华医学电子期刊资源库》AI小编,有什么可以帮您的吗?