跟骨骨折与足肌筋膜室综合征

Calcaneus fracures and comparment syndromes of the foot

目的:观察跟骨骨折和足肌筋膜室综合征发生的关系。方法:自2003年4月至2008年3月各型跟骨骨折患者78例,男72例,女6例;年龄17～56岁,平均34.2岁。对其中出现严重肿胀的54足采用Whiteside法测压装置监测足底筋膜室的压力,8例确诊为足肌筋膜室综合征。8例经足底内侧切口减压,全足肿胀很快消退,术后5～10d减压切口得以缝合。结果:8例患者随访7～12个月全足运动感觉正常,无爪形趾、足弓挛缩、足趾僵硬等表现。结论:足肌筋膜室综合征一般发生在跟骨骨折后1～3d内,SandensⅡ-Ⅳ型骨折易并发足肌筋膜室综合征。

Objectivt： To observe the relation of calcaneus fractures and compartment syhdromes of the foot taken place. Methods：From April 2003 to March 2008 ,there were 78 cases with calcaneus fracures involving 72 males and 6 females, aged from 17 to 56 years （averaged 34.2 years）. The intracompartment pressures of 54 feet with the severity swell were measured with the Whiteside＇s method. Among them,8 patients were final diagnosed the compartment syndromes of the foot. After incision decompression through the foot bottom wall, the whole foot swell fade away quickly. After 5 to 10 days the decompression incision were sutured. Results ：The 8 patients were followed up for from 7 to 12 months, kinesthetic sense of the whole foot was mormal. None of the cases occurrenced claw toes,instep contracture and stiffness of the toes, et al. Conclusion ： Compartment syndromes of the foot general occurrences during 1 to 3 days after caleaneus fractures. Fractures of Sanders Ⅱ -Ⅳ is easy to complicate compartment syndromes of the foot.