Цель исследования

radiology

Радиология — практика

Radiology - Practice

2713-0118

Центральный научно-исследовательский институт лучевой диагностики

10.52560/2713-0118-2026-4-58-74

radiology-866

Research Article

ПРОДОЛЖЕННОЕ МЕДИЦИНСКОЕ ОБРАЗОВАНИЕ

CONTINUING MEDICAL EDUCATION

Возможности и роль трехмерной компьютерной томографии для диагностики переломов пяточной кости и их последствий на современном этапе развития (обзор литератур

The Potential and Role of Three-Dimensional Computed Tomography in Diagnosing Calcaneal Fractures and Their Consequences at the Current Stage of Development (Literature Review)

https://orcid.org/0009-0006-2726-1392

Васильев

К. О.

Vasiliev

K. O.

Васильев Константин Олегович, врач-рентгенолог отделения лучевой диагностики; ассистент кафедры лучевой диагностики стоматологического факультета

Новосибирск

Vasiliev Konstantin Olegovich, Radiologist, Department of Radiology; assistant, Department of Radiology, Faculty of Dentistry

Novosibirsk

vasiliev_ko@mail.ru

https://orcid.org/0000-0003-1501-0677

Пахомов

И. А.

Pakhomov

I. A.

Пахомов Игорь Анатольевич, врач-травматолог, доктор медицинских наук, главный научный сотрудник

Новосибирск

Pakhomov Igor Anatolyevich, Traumatologist, Doctor of Medical Sciences, Chief Researcher

Novosibirsk

https://orcid.org/0000-0003-4799-6338

Горбунов

Н. А.

Gorbunov

N. A.

Горбунов Николай Алексеевич, врач-рентгенолог, доктор медицинских наук, доцент, профессор кафедры лучевой диагностики стоматологического факультета

Новосибирск

Gorbunov Nikolay Alekseevich, Radiologist, Doctor of Medical Sciences, Associate Professor, Professor of the Department of Radiology, Faculty of Dentistry

Novosibirsk

https://orcid.org/0000-0002-8637-4083

Дергилев

А. П.

Dergilev

A. P.

Дергилев Александр Петрович, врач-рентгенолог, доктор медицинских наук, профессор, заведующий кафедрой лучевой диагностики стоматологического факультета

Новосибирск

Dergilev Alexander Petrovich, Radiologist, Doctor of Medical Sciences, Professor, Head of the Department of Radiology, Faculty of Dentistry

Novosibirsk

https://orcid.org/0000-0001-6287-8132

Кузнецов

В. В.

Kuznetsov

V. V.

Кузнецов Василий Викторович, кандидат медицинских наук, врач травматолог-ортопед

Москва

Kuznetsov Vasily Viktorovich, Candidate of Medical Sciences (PhD in Medicine), TraumatologistOrthopedist

Moscow

ФГБУ «Новосибирский научно-исследовательский институт травматологии и ортопедии им Я. Л. Цивьяна» Минздрава России ; ФГБОУ ВО «Новосибирский государственный медицинский университет» Минздрава РоссииРоссияFederal State Budgetary Institution «Novosibirsk Research Institute of Traumatology and Orthopedics named after Ya. L. Tsivyan» of the Ministry of Health of the Russian Federation ; Federal State Budgetary Educational Institution of Higher Education «Novosibirsk State Medical University» of the Ministry of Health of the Russian FederationRussian Federation

ФГБУ «Новосибирский научно-исследовательский институт травматологии и ортопедии им Я. Л. Цивьяна» Минздрава РоссииРоссияFederal State Budgetary Institution «Novosibirsk Research Institute of Traumatology and Orthopedics named after Ya. L. Tsivyan» of the Ministry of Health of the Russian FederationRussian Federation

ФГБОУ ВО «Новосибирский государственный медицинский университет» Минздрава РоссииРоссияFederal State Budgetary Educational Institution of Higher Education «Novosibirsk State Medical University» of the Ministry of Health of the Russian FederationRussian Federation

Городская клиническая больница им. С. С. ЮдинаРоссияS. S. Yudin City Clinical HospitalRussian Federation

2026

23082026

045874

2026

Васильев К.О., Пахомов И.А., Горбунов Н.А., Дергилев А.П., Кузнецов В.В.

Vasiliev K.O., Pakhomov I.A., Gorbunov N.A., Dergilev A.P., Kuznetsov V.V.

Данная работа распространяется под лицензией Creative Commons Attribution 4.0.

This work is licensed under a Creative Commons Attribution 4.0 License.

https://www.radp.ru/jour/article/view/866

Цель исследования

Цель исследования. Систематизация и анализ современных данных о возможностях трехмерной компьютерной томографии на этапе предоперационного планирования у пациентов с переломами пяточной кости.

Материалы и методы

Материалы и методы. Выполнен систематический обзор источников литературы по методу PRISMA-ScR [8] за период с 1 января 2019 по 1 марта 2026 г. в международных и национальных библиографических базах данных PubMed, Scopus, eLibrary. Итоговое количество статей, включенных в обзор, — 36. Среди них двк статьи I уровня доказательности (систематические обзоры), остальные 34 — III и IV уровня доказательности согласно классической шкале Оксфордского центра доказательной медицины.

Результаты

Результаты. По результатам систематического обзора литературы определен потенциал трехмерной компьютерной томографии как для острых, так и для консолидированных переломов пяточной кости.

Заключение

Заключение. Трехмерное компьютерно-томографическое моделирование знаменует качественный сдвиг в парадигме диагностики и предоперационного планирования при переломах пяточной кости. Важнейшим его преимуществом является превосходящая точность и воспроизводимость. Но наибольшую ценность 3D-моделирование приобретает в контексте персонализации хирургического вмешательства, в том числе при консолидированных в положении смещения переломах пяточной кости.

Aim

Aim. To systematize and analyze current data on the potential of three-dimensional computed tomography in the preoperative planning phase for patients with calcaneal fractures.

Materials and Methods

Materials and Methods. A systematic review of literature sources was conducted following the PRISMA-ScR [8] method for the period from January 1, 2019, to March 1, 2026, across the international and national bibliographic databases PubMed, Scopus, and eLibrary. The final number of articles included in the review is 36. Among them, 2 articles are of level I evidence (systematic reviews), and the remaining 34 are of levels III and IV evidence according to the classic scale of the Oxford Centre for Evidence-Based Medicine.

Results

Results. Based on the results of the systematic literature review, the potential of three-dimensional computed tomography for both acute and consolidated calcaneal fractures has been identified.

Conclusion

Conclusion. Three-dimensional computed tomography modeling marks a qualitative shift in the paradigm of diagnosis and preoperative planning for calcaneal fractures. Its most important advantage is its superior accuracy and reproducibility. However, 3D modeling acquires its greatest value in the context of personalizing surgical intervention, including for calcaneal fractures that have consolidated in a displaced position.

пяточная костьпереломпланированиелучевая диагностикакомпьютерная томографиятрехмерное моделирование

CalcaneusFracturePlanningRadiation DiagnosticsComputed TomographyThreeDimensional Modeling

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The authors declare that there are no conflicts of interest present.