摘要
目的探讨切开复位跟骨解剖板内固定术中植骨与非植骨治疗SandersⅡ型跟骨骨折的疗效。方法回顾性分析2016年12月至2019年8月我院收治的SandersⅡ型跟骨骨折患者65例,根据术中是否向复位骨折后遗留的空腔中植入人工骨分为植骨组(n=34)和非植骨组(n=31),比较两组患者手术时间、术中出血量、住院天数、术后负重时间、术后并发症情况、术后1年跟骨高度、Bohler角大小及Maryland足部功能评分。结果两组手术时间、术中出血量、住院天数、术后负重时间比较,差异无统计学意义(P>0.05),术后1年跟骨高度、Bohler角大小及Maryland足部功能评分比较,差异无统计学意义(P>0.05),与术前比较,差异有统计学意义(P<0.05);非植骨组术后并发症发生率低于植骨组,差异有统计学意义(P<0.05)。结论 SandersⅡ型跟骨骨折切开复位解剖板内固定术中植骨与非植骨均可达到较为满意的疗效,但术中不植骨可以减轻患者经济负担并减少术后并发症,值得临床应用。
Objective To investigate the curative effect of bone grafting and non-bone grafting for Sanders type Ⅱ calcaneal fractures during open reduction and internal fixation with calcaneal anatomical plate. Methods A retrospective analysis of 65 patients with Sanders type Ⅱ calcaneal fracture admitted to our hospital from December2016 to August 2019 were assigned to the bone grafting group(n = 34)and the non-bone grafting group(n = 31)according to whether artificial bone was implanted into the cavity left after fracture reduction during the operation.The operation time,intraoperative blood loss,hospitalization stays,postoperative weight-bearing time,postoperative complications,and postoperative Maryland foot function scores were compared between the two groups. Results There was no statistically significant difference between the two groups in operation time,intraoperative blood loss,and hospitalization stays and postoperative weight-bearing time(P > 0.05). There was no statistically significant difference in Bohler angle in the first year after surgery,calcaneal height,and Maryland foot function score(P >0.05);the incidence of postoperative complications in the non-bone grafting group was lower than that of the bone grafting group(P < 0.05). Conclusions Sanders type Ⅱ calcaneal fracture open reduction and internal fixation with calcaneal anatomical plate could achieve satisfactory results with bone grafting and non-bone grafting,while the latter could reduce the economic burden of patients and postoperative complications,which is worthy of clinical application.
作者
贾天米
周业金
姚涛
陶勇
JIA Tianmi;ZHOU Yejin;YAO Tao;TAO Yong(Department of Traumatology and Orthopedics,the Third Affiliated Hospital of Anhui Medical University,Hefei 230001,China)
出处
《实用医学杂志》
CAS
北大核心
2021年第23期3052-3056,共5页
The Journal of Practical Medicine
关键词
跟骨
切开复位内固定术
植骨
解剖板
calcaneus
open reduction and internal fixation
bone graft
anatomical plate
