摘要
目的探讨闭合复位经皮螺钉内固定治疗跟骨骨折的适应证及优、缺点。方法采用闭合复位经皮螺钉内固定治疗34例跟骨骨折患者。末次随访时采用AOFAS踝-后足评分系统评价疗效。结果患者均获得随访,时间12～38个月。骨折愈合时间8～12周。末次随访时,B9hler角从术前15. 4°±4. 1°改善至26. 4°±4. 9°; Gissane角从术前94. 2°±7. 9°改善至118. 7°±6. 6°; AOFAS踝-后足评分为78～94 (86. 0±5. 1)分,其中优19例,良12例,可3例,优良率为91. 2%。至末次随访时,未发现创伤性关节炎征象,无明显跛行。结论闭合复位经皮螺钉固定治疗跟骨骨折复位满意,可减少手术损伤和术后并发症,缩短治疗时间,安全、可靠。
Objective To investigate the clinical indications,advantages and disadvantage of calcaneal fractures treated with closed reduction and percutaneous cannulated screw fixation.Methods The 34 calcaneal fractures were treated with the method of closed reduction and percutaneous cannulated screw fixation.At the final follow-up,AOFAS ankle-hindfoot score system was used to evaluate the efficacy.Results All 34 cases were followed up for 12~38 months.Bone union was achieved from 8~12 weeks postoperatively.At the final follow-up,the B hler angle was improved from 15.4°±4.1°preoperatively to 26.4°±4.9°.The Gissane angle was improved from 94.2°±7.9°preoperatively to 118.7°±6.6°.The AOFAS ankle-hindfoot score was 78~94(86.0±5.1)at the final follow-up,19 cases were excellent,12 good,and 3 fair,the excellent-good rate was 91.2%.The final follow-up revealed no post-traumatic arthritis,no obvious claudication.Conclusions Using closed reduction and percutaneous cannulated screw is a safe and reliable treatment method for calcaneal fractures,because it has the advantages of satisfactory reduction,less trauma,limited soft tissue complications,and a shorter therapy time.
作者
周黎辉
王徐灿
欧阳连
胡通洲
ZHOU Li-hui;WANG Xu-can;OU-YANG Lian;HU Tong-zhou(Dept of Orthopaedics,Ningbo Fourth Hospital,Ningbo,Zhejiang 315700,China)
出处
《临床骨科杂志》
2019年第1期99-100,103,共3页
Journal of Clinical Orthopaedics
关键词
跟骨骨折
经皮螺钉内固定
calcaneal fractures
percutaneous cannulated screw fixation
