摘要
目的:总结评价重建钢板治疗跟骨关节内骨折的临床效果。方法:对29例31足跟骨骨折采用切开复位、重建钢板内固定治疗。结果:随访16～48周,平均22周。3例患者术后出现皮缘部分坏死,1例表浅感染,1例切口裂开。术后8～12周X线检查骨折均愈合。按Maryland足部评分标准,优19足,良8足,可3足,差1足,优良率为87%。结论:使用重建钢板治疗SandersⅡ型,Ⅲ型和部分Ⅳ型骨折临床效果满意,对部分Sanders Ⅳ型骨折能够重建跟骨的外形,为二次融合做良好的准备。
Objective： To evaluate the clinical outcomes of reconstructive plate in the treatment of intraarticular calcaneus fracture. Methods： 29 cases with 31 foot underwent the open reduction reconstructive plate inner fixation surgery. Results： All patients were followed for 16-48 weeks, mean 22 weeks. 3 patients part incision skin necrosis, 1 patient superficial infection, 1 patient disruption of wound. After 8-12 weeks, the X-ray showed that all fractures were fusion. According to Maryland evaluation： 19 cases excellent, 8 cases good, 3 cases fare, 1 cases poor. The rate of excellent and good was 87%. Conclusion： The open reduction reconstructive plate inner fixation surgery is good for Sanders Ⅱ, Ⅲtype and part of Sanders IV type. To Sanders Ⅳ type fracture, the operation can reconstruct the shape of calcaneus, it is better for the patient who need fusion operation one day.
出处
《中国医药导报》
CAS
2009年第14期48-49,共2页
China Medical Herald
关键词
骨折
骨折固定术
跟骨
Bone fracture
Inner fixation
Calcaneus
