摘要
目的根据对72例跟骨骨折手术患者的临床评价,总结手术治疗跟骨关节内骨折的疗效。方法分析自2004年9月～2009年10月笔者收治的72例复杂跟骨关节内骨折,男61例,女11例;年龄19～54岁,平均39.7岁。病程1～17d,平均9.7d。术前术后行X线片和CT检查,根据Sanders分型其中40例为Ⅲ型,32例Ⅳ型,均采用外侧切口切开复位跟骨解剖型钢板内固定手术方法,取自体髂骨植骨填充骨缺损。平均随访38个月(10～48个月),根据美国足踝外科协会跟骨骨折的评分标准,按优、良、可、差分等级评价。结果优14例、良38例、可9例、差11例,优良率达72.2%。切口不愈合5例,距下关节炎3例。结论切开复位钢板内固定可以使距下后关节面得到良好复位,是治疗复杂跟骨关节内骨折的有效手段。
Objective To evaluate the clinical result of surgical treatment of intra - articular fractures of the calcaneus using calcaneus anatomical plate, according to a clinical evaluation on 72 patients. Methods From September 2004 to October 2009,72 patients of calcane- us were collected. Male ,61, female, 11 ;From 19 -54 years old, the average age was 39.7 years old. 1 - 17 days after injuried. Each patient was performed X - ray and semi - coronal CT scan before and after operation. According to Sanders classification system, there were type III in 40 and type IV in 32, all of the 72 patients were operated with lateral L - type incision and calcaneus anatomical plate. According to the standard of caleaneus fracture of the American surgery association of foot and ankle ,4 ranks including excellent, good, fair and poor were using to evalu- ate the effection. Results Excellent in 14, good in 38, fair in 9, and poor 11. Nounion of incision in 5 patients, arthritis of subtalar joint in 3 patients. Conclusion For well reunion of the Subtalar joint, the clinical result showed that intra - articular fracture of the ealcaneus could achieve preferably clinical effect on open reduction and internal fixation.
出处
《中外医学研究》
2011年第3期11-12,共2页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
跟骨骨折
骨折固定术
解剖钢板
Caleaneus fracture
Fracture - fixation
Anatomical steel
