摘要
目的探讨跗骨窦入路联合空心钉治疗关节内跟骨骨折的治疗效果。方法回顾性分析我科2014年1月至2015年3月采用跗骨窦入路联合空心钉治疗关节内跟骨骨折病例,通过影像学检查及Maryland评分评估手术效果。结果本组患者获得3-12个月的随访,平均8.9个月。无螺钉松动及内固定物断裂,Maryland评分优良率达90%,跟骨B？hler角从术前（8.25±6.94）°改善至术后（21.13±3.27）°,Gissane角从术前（105.55±9.73）°改善至术后（121.63±4.98）°,差异均有统计学意义（P〈0.01）,仅1例患者出现伤口浅表坏死,无感染等并发症,1例患者存在腓肠神经牵拉症状。结论跗骨窦入路联合无头空心钉可以较好地治疗关节内跟骨骨折,减少切口并发症。
Objective To observe the clinic effect of patients treated for intraarticular calcaneal fracture by the tarsal sinus approach and headless cannulated screw. Methods We performed a retrospective review of all intraarticular calcaneal fracture treated by tarsal sinus approach and headless cannulated screw in our department fron January 2014 to March 2015, and the image data and Maryland-foot-score were evaluated. Results No loosen or break of the screws were observed in this group. Good-excellent rate was 90% by Maryland score. The B？hler angle improved from（8.25±6.94）°to（21.12 ± 3.27）° after operation, and Gissane angle improved from（105.55 ± 9.73）° to（121.63 ± 4.98）° after operation,The difference was statistically significant（P〈0.01）. One case had superficial wound necrosis but without infection, and another case had sural nerve damage. Conclusion The intraarticular calcaneal fracture can be treated well by the tarsal sinus approach and headless cannulated screw with reduced incision complications.
出处
《北京医学》
CAS
2015年第11期1064-1067,共4页
Beijing Medical Journal
关键词
跟骨骨折
跗骨窦入路
Calcaneal fracture Tarsal sinus approach
