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
内
calcaneus fractures
locking plate
bone graft
fracture fixation, internal