摘要
目的 探讨闭合撬拨、加压螺钉内固定术治疗跟骨骨折的临床疗效。方法 选取60例跟骨骨折患者为研究对象,采用闭合撬拔复位结合加压螺钉内固定治疗,评价闭合撬拔复位结合加压螺钉内固定的疗效及并发症发生情况。结果 所有患者经手术治疗,骨折部位达到或接近解剖复位。术前患者Bohler角（15.82±5.18）°,Gissane角（154.34±17.44）°,术后Bohler角（31.34±5.88）°,Gissane角（133.47±10.51）°,术前术后比较,差异具统计学意义（P〈0.05）。住院时间10～15 d,平均（12.4±2.1）d。术后所有患者随访6～22月,平均（15.7±2.9）月。随访期间,患者均未出现伤口感染、血管神经损伤、皮肤坏死等并发症。根据Maryland足部评分标准判定优23例,良28例,可7例,差2例,优良率85.0%。结论 闭合撬拔复位结合加压螺钉内固定对跟骨骨折具有较好的疗效,术后患者足功能恢复良好,术后并发症少。
Objective To discuss the efficacy of closed poking and compression screw internal fixation in treatment of calcaneal fracture. Methods Sixty cases of patients with calcaneal fracture were selected. All the patients were treated with closed poking and compression screw internal fixation. The clinical efficacy and complication during follow-ups were evaluated. Results All the patients reached the fracture site or close to the anatomical reduction. Before surgery, the Bohler angle was （15.82±5.18）°, Gissane angle was （154.34±17.44）°. After surgery, the Bohler angle was （31.34±5.88）°, Gissane angle was （133.47±10.51）°. There were statistical significance on Bohler and Gissane angle before and after surgery （P〈0.05）. Hospitalization was 10-15 days, average hospitalization time was （12.4±2.1） days. All patients were followed up for 6-22 months, average follow-up time was （15.7±2.9） months. There was no wound infection, vascular nerve injury, skin necrosis and other complications during follow-up. According to Maryland foot score standard： excellent 23 cases, good 28 cases, sure 7 cases, poor 2 cases. The excellent rate was 85.0%. Conclusion Closed poking combined with compression screw internal fixation has good clinical efficacy on calcaneal fracture. The postoperative recovery of foot function is good and there is little incidence of the complications.
出处
《临床医学研究与实践》
2016年第21期106-107,共2页
Clinical Research and Practice
