期刊文献+

锁定钢板结合植骨治疗Sander Ⅲ、Ⅳ型跟骨骨折 被引量:15

Locking plate fixation combined with bone graft treatment of Sander Ⅲ,Ⅳ type calcaneal fracture
下载PDF
导出
摘要 目的探讨切开复位锁定钢板内固定结合植骨治疗SanderⅢ、Ⅳ型跟骨骨折的疗效。方法对32例跟骨骨折患者(36足)采用切开复位锁定钢板内固定并髂骨植骨治疗。结果术后切口均无感染。32例均获随访,时间6—18(10.4±3.3)个月。未发现关节面塌陷、复位丢失、螺钉固定不良现象。功能及疗效按照Maryland足部评分系统评价:优22例,良6例,可3例,差1例,优良率为87.5%。结论锁定钢板内固定结合髂骨植骨治疗SanderⅢ、Ⅳ型跟骨骨折是一种有效的方法,充分的术前准备、熟悉跟骨的解剖形态、术中精准的复位、内固定的技巧、时机的掌握是手术成功的关键。 Objective To explore the clinical outcome of calcaneal fracture of Sander Ⅲ、Ⅳtype treated by open re- duction and internal fixation with locking plate and bone grafting. Methods 32 cases of calcaneal fracture(36 foot) were treated by open reduction and locked plate fixation and bone grafts. Results 32 patients were followed up for 6 - 18 ( 10. 4 ± 3.3 ) months. Postoperative wound had no infection, no articular surface collapse, loss of reduction, and screw fixation of undesirable. According to Maryland foot score system to evaluate postoperative function and effi- cacy: 22 fractures showed excellent results, 6 good, 3 fair, and 1 poor, and the excellent aud good rate was 87.5%. Conclusions Internal fixation with a locked plate combined with bone grafts is an effective method to treat Sander type Ⅲ、Ⅳ of calcaneus. It is the key to successful operation that sufficient preoperative preparation, articular anato- my knowledge, accurate intraoperative reset, internal fixation techniques, and correct opportunity of operation.
出处 《临床骨科杂志》 2013年第5期565-567,共3页 Journal of Clinical Orthopaedics
关键词 跟骨骨折 锁定钢板 植骨 骨折固定术 calcaneus fractures locking plate bone graft fracture fixation, internal
  • 相关文献

参考文献6

  • 1Gupta R, Khanchandani P. Intereondylar fractures of the distal hu- merus in adults : a critical analysis of 55 case [ J ]. Injury,2002,33 (6) :511 -515. 被引量:1
  • 2Weight M, Collinge C. Early results of less invasive stabilization system for mechanically unstable fractures of the distal femur( AO/ OTA types A2, A3, C2 and C3) J]. J Orthop Trauma, 2004, 18(8) : 503 -508. 被引量:1
  • 3Eastwood D M, Glregg P J, Atkins R M. Intra-articular fracture of the calcaneum, part I : pathological anatomy and classification [J]. JBoneJoint SurgBr, 1993, 75(2) :183 -188. 被引量:1
  • 4陈斌,张建华,刘安平.手术治疗波及关节面的跟骨骨折[J].临床骨科杂志,2007,10(2):153-154. 被引量:10
  • 5田伟编著..实用骨科学[M].北京:人民卫生出版社,2008:1108.
  • 6张俊,厉国定,沈燕国,胡牧,尹伟忠,秦惠敏,胡晓亮.钢板内固定治疗SandersⅡ、Ⅲ型跟骨骨折[J].临床骨科杂志,2011,14(2):152-154. 被引量:21

二级参考文献7

共引文献29

同被引文献116

引证文献15

二级引证文献97

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部