摘要
目的探讨距下关节融合术治疗跟骨骨折后距下关节炎的效果。方法 2009年9月～2010年5月,行距下关节融合术治疗5例5足,均为男性,年龄29～50岁,平均39.25岁,跟骨骨折后9～36个月,平均23.4个月。按Zwipp跟骨畸形愈合分型均为Ⅲ型。结果 5例5足皮肤切口一期愈合。随访时间3～10个月,平均7.4个月,完全负重时间为3个月。按美国足踝外科协会Maryland足评分系统评价手术前、后的功能:术前为42分,术后为81分,平均改善39分。结论手术选择合适病例,行距下关节融合术治疗跟骨骨折后距下关节炎可取得满意效果。
Objective To investigate the clinical results of operative treatment of subtalar arthritis after calcaneal fracture by talocalcaneal arthrodesis.Methods 5 feet of subtalar arthritis after calcaneal fracture in 5 patients were treated by means of talocalcaneal arthrodesis from September 2009 to May 2010.All were regular followed up to analyze the clinical effects.Results All 5 patients were followed up for 3months to 10 months,on an average of 7.4 months.According to Maryland foot score,average improvement score was 39 points.Conclusion Choosing the appropriate cases,treating subtalar arthritis by talocalcaneal arthrodesis can get satisfactory clinical results.
出处
《中南医学科学杂志》
CAS
2011年第4期435-437,共3页
Medical Science Journal of Central South China
关键词
跟骨
骨折
距下关节炎
Calcaneal
Fractures
subtalar arthritis
