摘要
目的探讨跟骨钢板治疗跟骨关节内骨折的疗效。方法对45例跟骨关节内骨折患者(51足)采用跟骨外侧延长L形切口,跟骨钢板内固定治疗。测量术前、术后Bhler角和Gissane角,根据Maryland足功能评分标准进行疗效评定。结果 45例均获随访,时间6~16(10.3±2.1)个月。Bhler角术前为-9°~17°(5.6°±11.4°),术后恢复至15°~40°(27.5°±11.3°);Gissane角术前为75°~97°(85.6°±11.4°),术后恢复至110°~140°(127°±13.0°)。术后发生切口延迟愈合2例,皮瓣边缘坏死1例。结论选择好恰当的手术时机,掌握骨折复位技巧,采用跟骨外侧延长L形切口,跟骨钢板治疗跟骨关节内骨折可以获得满意的疗效。
Objective To evaluate the clinical results of surgical treatment of intra-articular fractures of the caclcaneus using calcaneal anatomical plate.Methods 45 patients(51 feet) with intra-articular calcaneal fractures were treated through lateral calcaneal extension of L-shaped incision with internal fixation of calcaneal plate.Angles of Bhler and Gissane were measured before and after operation.According to Maryland score,the function was evaluated.Results 45 cases were followed up from 6 to 16 months(average 10.3±2.1 months).The Bhler angle was recovered from-9°~17°(5.6°±11.4°)before the operation to 15°~40°(27.5°±11.3°)after the operation.The Gissane angle was recovered from 75°~97°(85.6°±11.4°)to 110°~140°(127°±13.0°).2 factures showed incision delayed healing after the operation;1 facture showed necrosis of tenzel flap edge.Conclusions Good results can be obtained by choosing appropriate surgical operation time and grasping the reset techniques and using lateral calcaneal L-shaped incision.The internal fixation with the calcaneal anatomical plate to treat intra-articular fractures of the calcaneus can achieve preferable clinical effects.
出处
《临床骨科杂志》
2011年第6期690-692,共3页
Journal of Clinical Orthopaedics
关键词
跟骨骨折
骨折固定术
内
钢板
calcaneal fractures
fracture fixation,internal
plate