跟骨骨折治疗的疗效分析

Calcaneum Bone Fracture Treatment Curative Effect Analysis

目的:探讨手术与非手术治疗跟骨骨折的疗效和治疗方法。方法:总结5年间手术治疗的跟骨骨折38例(42足),手术方式均为钢扳内固定,手术入路均为外侧"L"形扩大入路,术后不用石膏固定,2～3d后即行不负重功能锻炼,6～8周后逐渐负重锻炼。并与40例(42足)采用非手术方法治疗的患者进行比较,所有病例随访12～36个月,平均18个月。结果:手术治疗组:优良率93%,其中Ⅰ型骨折优良率为100%,Ⅱ型骨折优良率为96%,Ⅲ型量折优良率为75%。非手术治疗组:优良率67%,其中Ⅰ型骨折优良率为92%,Ⅱ型骨折优良率为77%,Ⅲ型骨折无优良患者。结论:对跟骨骨折治疗方式的选择应据患者的个体状况、骨折类型等综合考虑才能达到最佳效果。

Objective： The discussion surgery, treats the calcanetum bone fraeture with the non-surgery the curative effect and the method of treatment. Methods： Summarizes calcraneum bone fracture 3g examples which during 5 years the surgery treats （42 feet）, the surgery way was in the steel plate fixed, the operative approach was the flank ＂L＂ the shape expansion admission passage, after the technique, didn＇t need the gypsum to be fixed, after 2-3 d, didn＇t carry a heavy load immediately the function exercise, 68 weeks later carried a heavy load gradually the exercise. And the patient who （42 feel;） used the non-surgery method treatment with 40 examples carried on the comparison, all cases made a follow-up visit for 12-36 months, the average 18 months. Results： The surgery treats the group： Fine rate 93%, Ⅰ The bone fracture fine rate was 100%, Ⅱ The bone fracture fine rate was 96%,Ⅲ The bone fracture fine rate was 75%. The non-surgery treats the group： Fine rate 67%,Ⅰ The bone fracture fine rate was 92%, Ⅱ The brine fracture fine rate was 77%, ⅢBone fracture not fine patient. Conclusion： To the calcaneum bone fracture treatment way＇s choice should according to patient＇s individual condition, the hone fracture type and so on overall evaluation he able to schieve the desired effect.