摘要
目的探讨经跗骨窦入路治疗跟骨骨折的近期疗效。方法采用经跗骨窦入路切开复位钢板内固定治疗31例跟骨骨折患者。记录跟骨高度、宽度、长度、Bhler角、Gissane角。采用足功能Maryland评分进行疗效评估。结果 31例患者均获得随访,时间6～12个月。手术切口均一期愈合,未发生切口边缘皮肤坏死。33足跟骨长度、宽度均恢复满意。术后6个月Bhler角、Gissane角与术前比较差异均有统计学意义(P <0. 05)。末次随访采用Maryland评分评价疗效:优24足,良8足,可1足,优良率为96. 97%。结论经跗骨窦入路手术治疗跟骨骨折具有创伤小、距下关节面与跟骰关节暴露充分等优点,近期疗效肯定。
Objective To investigate the short-term effect of calcaneal fractures treated with sinus tarsi approach. Methods The 31 cases of calcaneal fractures were treated by open reduction and plate internal fixation with sinus tarsi approach.The calcaneal height and width and length, B hler angle and Gissane angle were recorded, Maryland foot function scoring was used to assess the curative effect. Results Thirty-one cases were followed up for 6~12 months.The surgical incision healed at one stage,without skin necrosis of the incision edge occurred.The calcaneal length and width of 33 feet recovered well,there were statistical differences of B hler and Gissane angle between the preoperation and 6 months after surgery ( P< 0.05).At the last follow-up,according to Maryland score criterion,24 cases were excellent,8 cases good,1 fair,with the excellent and good rate of 96.97%. Conclusions Treatment of calcaneal fracture with tarsal sinus approach has the advantages of less trauma, sufficient exposure of calcaneal talar joint surface and calcaneus joint, etc., and the short-term efficacy is certain.
作者
张保
ZHANG Bao(Dept of Orthopaedics,the Second People′s Hospital of Hefei City,Hefei,Anhui 230061,China)
出处
《临床骨科杂志》
2019年第2期235-236,共2页
Journal of Clinical Orthopaedics
关键词
跟骨骨折
微创切口
跗骨窦切口
骨折固定术
calcaneal fractures
minimally invasive
sinus tarsi approach
fracture fixation,internal
