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首页> 外文期刊>Cases Journal >Intra-articular calcaneal fracture: closed reduction and balloon-assisted augmentation with calcium phosphate cement: a case report
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Intra-articular calcaneal fracture: closed reduction and balloon-assisted augmentation with calcium phosphate cement: a case report

机译：关节内跟骨骨折：采用磷酸钙水泥封闭复位并球囊辅助增大术：一例

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Introduction For decades, open reduction and internal fixation was the surgical treatment of choice for intra-articular calcaneal fractures, either with or without any augmentation. Delayed weight bearing and wound-related complications are still unresolved. Aiming at a minimally invasive therapy with accelerated mobilization, we applied closed reduction and balloon-assisted augmentation with calcium phosphate cement. Case presentation A 45-years-old Greek man with intra-articular calcaneal fracture was treated with closed reduction and balloon assisted augmentation with calcium phosphate cement. Follow-up was performed using the Maryland foot score, plain radiographs and multidirectional computerized tomography. Early full weight-bearing was performed at the end of the first week postoperatively. There was no need for secondary reconstructive procedures at the 2 year follow-up. The patient had minimal problems regarding the pain, subtalar motion and peroneal impingement. There was no significant further collapse of the subtalar calcaneal articular surface radiologically. Conclusion The closed reduction and balloon assisted augmentation with calcium phosphate cement of intra-articular calcaneal fractures is a minimally invasive surgical procedure which led to early full weight bearing, good functional patient outcomes and a low complication rate.
机译：简介数十年来，切开复位内固定术是关节内跟骨骨折（无论是否进行任何扩大）的首选手术治疗方法。延迟的负重和伤口相关的并发症仍未解决。为了通过加速动员进行微创治疗，我们应用了闭合复位和球囊辅助增强磷酸钙水泥。病例介绍一名45岁的希腊男子关节内跟骨骨折行闭合复位复位并用磷酸钙水泥球囊辅助增强治疗。使用马里兰州足部评分，X线平片和多方向计算机断层扫描进行随访。术后第一周结束时尽早进行全面负重。在2年的随访中，无需进行二次重建手术。该患者在疼痛，距下运动和腓骨撞击方面几乎没有问题。影像学上距下跟骨关节面没有明显的进一步塌陷。结论闭合复位球囊内跟骨骨折并用球囊辅助磷酸钙水泥增强是一种微创手术方法，可导致早期全负荷，患者良好的功能预后和较低的并发症发生率。

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