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Use of Subtalar Arthroscopy in Intra-Articular Calcaneus Fractures

박철현|우인하
대한족부족관절학회 (korean foot and ankle society)|2023.03|대한족부족관절학회지 (journal of korean foot and ankle society)|제27권 제1호|pp. 1-6|DOI 10.14193/jkfas.2023.27.1.1

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키워드

CalcaneusArthroscopySubtalar jointIntra-articular fractures

초록

Displaced intra-articular calcaneal fractures are difficult to treat because of complex anatomy and high soft tissue complications. Various surgical approaches have been introduced to solve these problems, but the treatment remains complex. Recently, clinically and radio- graphically superior results were reported using a subtalar arthroscopy in reducing the posterior facet in both percutaneous and open approaches. In the percutaneous approach, the arthroscopically assistant percutaneous approach must be selected carefully for mild-to- moderately displaced fractures because of the limited view. In the open approach, there is little evidence of the utility of subtalar arthros- copy. Therefore, intraoperative arthroscopy should always be used in conjunction with fluoroscopy to achieve reduction and assess the internal fixation placement.

Abstract

Displaced intra-articular calcaneal fractures are difficult to treat because of complex anatomy and high soft tissue complications. Various surgical approaches have been introduced to solve these problems, but the treatment remains complex. Recently, clinically and radio- graphically superior results were reported using a subtalar arthroscopy in reducing the posterior facet in both percutaneous and open approaches. In the percutaneous approach, the arthroscopically assistant percutaneous approach must be selected carefully for mild-to- moderately displaced fractures because of the limited view. In the open approach, there is little evidence of the utility of subtalar arthros- copy. Therefore, intraoperative arthroscopy should always be used in conjunction with fluoroscopy to achieve reduction and assess the internal fixation placement.

참고문헌 (40)

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