【球囊复位后射频骨水泥跟骨成形术】。

Unfallchirurgie (Heidelberg, Germany) Pub Date : 2024-02-01 Epub Date: 2023-10-24 DOI:10.1007/s00113-023-01365-2
J Rathjen, M Völlmecke, D Bieler, A Franke, E Kollig
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引用次数: 0

摘要

复杂跟骨骨折的标准手术程序是切开复位、内复位和通过外侧入路的内稳定角度钢板接骨。最近,微创和经皮手术策略的选择已经提出[4,7]。作为跟骨骨折的一种可能的手术替代方法,跟骨成形术在本文中进行了讨论和应用[5]。在这个病例中,有五个复杂的跟骨骨折,使用球囊导管进行经皮复位,以恢复跟骨的对齐。随后在射频应用中放置PMMA水泥,并使用经皮空心螺钉进行骨合成。这种Vicenti技术可以在早期部分负重的情况下实现稳定的复位和保留,总体并发症发生率较低[17]。
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[Calcaneoplasty with radiofrequency cementing following balloon reduction].

The standard surgical procedure for complex calcaneal fractures is open reduction, internal reduction and internal stable angle plate osteosynthesis via a lateral approach. More recently, options for minimally invasive and percutaneous surgical strategies have been presented [4, 7]. As a possible procedural alternative for a covered, surgical treatment of calcaneal fractures, calcaneoplasty is discussed and applied in this context [5]. In this case series of five complex calcaneal fractures presented here, a balloon catheter was used for percutaneous reduction to restore the alignment of the calcaneus.This was followed by placement of PMMA cement in radiofrequency application and osteosynthesis using percutaneous cannulated screws. This Vicenti technique allows stable reduction and retention with early partial weight bearing with an overall low complication rate [17].

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