摘要
目的通过回顾性病例研究,探讨经跗骨窦入路微创治疗跟骨关节内骨折的近期疗效。方法 2010-03/2013-09月,应用跗骨窦入路治疗22例新鲜跟骨关节内骨折患者,男13例,女9例。年龄22~49岁,平均35.3岁。根据Sanders分型,Ⅱ型15例,Ⅲ型7例。通过美国足踝外科协会(American Orthopaedic Foot and Ankle Society,AOFAS)踝与后足评分标准对手术前后患足功能进行评估。结果本组患者1例出现皮缘坏死,无感染、内固定相关并发症等情况发生。术后21例获随访,随访时间18~46个月,平均29个月。至末次随访时平均AOFAS评分为86.6分(73~98分),优良率为95%。结论跗骨窦入路是治疗简单跟骨关节内骨折的一种有效方法,临床操作简单,切口相关并发症少,患者功能预后满意。
Objective To retrospectively evaluate the functional outcomes of intra-articular calcaneal fractures via sinuses tarsi incision.Methods From March 2010 to September 2013,22 intra-articular calcaneal fracture patients were treated with sinuses tarsi incision and internal fixation.There were 13 males and 9 females,with an average age of 35.3years.According to the Sanders classification,15 cases were typeⅡ and 7 were typeⅢ.The American Orthopaedic Foot and Ankle Society(AOFAS)ankle-hindfoot score was used for functional outcomes evaluation.Results One incision necrosis was found,no infection and implant failure happened during the follow-up.A total of 21 cases were followed with an average time of 29 months(18-46 months).The mean AOFAS ankle-hindfoot score was 86.6 points(range from73 to98 points).Conclusion Operation via sinuses tarsi incision is a good method for simple intra-articular calcaneal fractures.This method is easy to use and with less complication,and also can reach good functional outcomes.
出处
《华南国防医学杂志》
CAS
2015年第3期171-172,176,共3页
Military Medical Journal of South China
基金
陕西省自然科学基金项目(2014JQ4164)
关键词
跟骨
骨折
手术
微创
疗效
Calcaneus,fracture
Operation
Minimal invasive
Effect
