摘要
目的探讨有限切开复位内固定术治疗儿童跟骨关节内骨折的临床效果。方法2015年6月-2018年8月收治儿童跟骨关节内骨折9例,均采用跗骨窦有限切开复位克氏针或微型钛板内固定术治疗。术后12个月采用美国足踝外科协会(AOFAS)踝关节功能评分系统对踝关节功能进行评分。结果术后9例患儿均获得随访,AOFAS评分平均90.1分(80~97分)。1例术后出现切口浅表感染(经换药后痊愈),其余患儿踝关节功能均恢复良好。术后复查X线片显示B.o.hler角和Gissane角均恢复正常。结论经跗骨窦区有限切开复位内固定术治疗儿童跟骨关节内骨折临床效果显著。
Objective To analyze and discuss the clinical effect of limited open reduction and internal fixation on the treatment of children with intra-articular calcaneal fractures.Methods From June 2015 to August 2018,9 children with intra-articular calcaneal fractures were treated with limited sacral sinus reduction and Kirschner wire or micro-titanium plate internal fixation.Results The ankle joint function was scored 12 months after surgery using the American Foot and Ankle Surgery Association(AOFAS)ankle function score system.Nine patients were followed up,and the average AOFAS score was 90.1(80-97).One patient developed a superficial infection of the incision(healed after dressing change),and the rest of the patients recovered well.Postoperative X-ray examination showed B.o.hler angle and Gissane angle,all returned to normal.Conclusion The clinical effect of limited open reduction and internal fixation through tarsal sinus in the treatment of intra-articular calcaneal fractures in children is remarkable.
作者
张述才
翟得平
张在轶
王爱国
冯仕明
陶友伦
常步青
范家强
郝云甲
ZHANG Shucai;ZHAI Deping;ZHANG Zaiyi(Department of Orthopaedic Surgery,Xuzhou Central Hospital,Xuzhou,Jiangsu,221009,China)
出处
《实用手外科杂志》
2020年第2期149-151,共3页
Journal of Practical Hand Surgery
关键词
跟骨骨折
内固定
切开复位
儿童
Calcaneal fracture
Internal fixation
Open reduction
Children