摘要
目的探讨手术切开复位跟骨钢板内固定治疗累及关节面的跟骨骨折的疗效。方法对27例跟骨骨折患者的临床资料进行回顾性分析。结果27例均为闭合性跟骨关节内骨折,SandersⅡ型18例、Ⅲ型9例。6例(22.2%)发生切口处皮缘坏死;Bohler角术前平均7.5°,术后平均27.54°。20例获平均16.8个月随访,所有患者均恢复正常行走,无活动受限和影响穿鞋主诉。结论切开复位跟骨钢板内固定治疗累及关节面的跟骨骨折,能够获得满意的解剖复位,疗效可靠。
Objective To investigate the effect of internal fixation of plates on displaced intra-articular fracture of the calcaneus. Methods 27 patients with calcaneal fracture and treated surgically with open reduction and internal fixation were analyzed retrospec- tively. Results All the cases are closed fracture. According to the Sanders classification, 18 cases were type 2 calcaneal fractures, and 9 were type 3. 6 cases （22.2%） showed wound healing problems. The average Bohlefs angle before and after surgery was 7.5% and 27.54% respectively. 20 patients were followed up for average 16.8 months, and all showed excellent walking ability and normal gait, and no shoe wear complaints. Conclusion Open reduction and internal fixation can guarantee the anatomic reduction of displaced calcaneal fractures, and the outcomes are satisfied.
出处
《中国康复理论与实践》
CSCD
2009年第3期276-278,共3页
Chinese Journal of Rehabilitation Theory and Practice
关键词
跟骨骨折
关节面骨折
跟骨钢板
内固定术
calcaneal fractures
inta-articular fracture
calcaneal plate
internal fixation
