科技导报 >

2023 , Vol. 41 >Issue 23: 79 - 87

DOI: https://doi.org/10.3981/j.issn.1000-7857.2023.23.011

专题：康复医学的时代发展与中国策略

距下关节镜微创技术在跟骨骨折治疗中的应用进展

  • 元宝华 ,
  • 姚兴璋 ,
  • 李兴勇 ,
  • 杨琛 ,
  • 左鹏刚 ,
  • 刘晓婷 ,
  • 吴沂泽 ,
  • 蔺海生
展开
  • 1. 甘肃中医药大学中医临床学院，兰州 730030
    2. 甘肃省中医院，兰州 730030
    3. 甘肃省人民医院，兰州 730030
    4. 甘肃中医药大学附属医院，兰州 730030
元宝华，硕士研究生，研究方向为中医药防治骨伤科疾病，电子信箱：953640511@qq.com

收稿日期: 2022-11-30

  修回日期: 2023-09-15

  网络出版日期: 2023-12-21

基金资助

甘肃省陇原青年创新创业人才项目；甘肃省科技计划自然科学基金项目（22JR5RA641）

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A review of minimal-invasive techniques for subtalar arthroscopy in treatment of calcaneal fractures

  • YUAN Baohua ,
  • YAO Xingzhang ,
  • LI Xingyong ,
  • YANG Chen ,
  • ZUO Penggang ,
  • LIU Xiaoting ,
  • WU Yize ,
  • LIN Haisheng
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  • 1. Gansu University of Traditional Chinese Medicine, Lanzhou 730030, China
    2. Gansu Hospital of Traditional Chinese Medicine, Lanzhou 730030, China
    3. Gansu Provincial People's Hospital, Lanzhou 730030, China
    4. Affiliated Hospital of Gansu University of Traditional Chinese Medicine, Lanzhou 730030, China

Received date: 2022-11-30

  Revised date: 2023-09-15

  Online published: 2023-12-21

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摘要

距下关节镜技术是检查距下关节的一种微创方法，近年来被广泛应用于跟骨骨折治疗中。从既往文献、历史发展、手术入路、手术方式及术后并发症等方面对距下关节镜微创技术在跟骨骨折中应用的研究进行了回顾，发现目前距下关节镜主要以外侧入路、后侧入路及内侧入路3种手术入路为主，同时配合跗骨窦入路、经皮撬拨复位内固定术、小切口入路、3D打印技术、外固定架、截骨矫形及距下关节融合术等技术，使距下关节镜的使用条件更加广泛。同时，提出了该项技术对于施术者的操作要求较高，操作不当极有可能引起神经损伤和骨折愈合不良等反应。

关键词： 距下关节镜; 微创手术; 跟骨骨折; 手术入路; 术后并发症; 术后康复

本文引用格式

元宝华 , 姚兴璋 , 李兴勇 , 杨琛 , 左鹏刚 , 刘晓婷 , 吴沂泽 , 蔺海生 . 距下关节镜微创技术在跟骨骨折治疗中的应用进展[J]. 科技导报, 2023 , 41(23) : 79 -87 . DOI: 10.3981/j.issn.1000-7857.2023.23.011

Abstract

Calcaneal fracture is one of the most common foot fractures, poor reduction may easily lead to long-term chronic foot pain and even affect daily life. Subtalar arthroscopy is a minimally invasive method for examination of subtalar joints, which has been widely used in the treatment of calcaneal fractures in recent years. At present, subtalar arthroscopy mainly includes three surgical approaches: lateral approach, posterior approach, and medial approach. At the same time, combined with tarsal sinus approach, percutaneous pry reduction and internal fixation, small incision approach, 3D printing technology, external fixator, osteotomy correction and subtalar arthrodesis, subtalar arthroscopy is more widely used. However, this technique has higher requirements for the operator. Improper operation is very likely to cause adverse reactions such as nerve injury and poor fracture healing. Therefore, this paper reviews the research reports on the application of subtalar arthroscopy in calcaneal fractures in terms of previous literature, historical development, surgical approaches, surgical methods, and postoperative complications in order to provide reference for clinical use of subtalar arthroscopy.

Key words： subtalar arthroscopy; minimally invasive surgery; calcaneal fracture; surgical approach; postoperative complications; postoperative rehabilitation

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