外固定支架结合关节镜治疗跟骨Sanders Ⅱ～Ⅳ型骨折41例

Treatment of Sanders Ⅱ～Ⅳ calcaneal fracture with external fixation bracket combined with arthroscopic(41 cases)

目的观察撬拨复位外固定支架+关节镜下跟骨关节面撬拨整复(植骨)克氏针简单内固定治疗跟骨粉碎性骨折的临床疗效,探讨该方法治疗跟骨粉碎性骨折的优点和不足。方法对41例(46足)跟骨粉碎性骨折病人接受撬拨复位外固定支架+关节镜下跟骨关节面撬拨整复(或植骨)克氏针简单内固定治疗跟骨粉碎性骨折。结果术后其疗效按Maryland足部评分标准,优31足,良11足,可4足,优良率90.1%。结论利撬拨复位外固定支架+关节镜下跟骨关节面撬拨整复(植骨)克氏针简单内固定治疗跟骨粉碎性骨折疗效满意,有手术创伤小、并发症少,不破坏骨折血运,对骨折愈合影响小,跟骨关节面复位理想等优点,且对伴有软组织损伤需多次手术治疗的患者更适合该方法。

Objective To estimate the clinical efficacy of prying reduction and external fixation support ＋joint surface with mandibular reconstruction under arthroscopy （or bone graft） simple gram needle fixation on calcaneus comminuted fracture, and to explore the treatment＇s advantages and disadvantages. Methods 41 cases （46 feet） with bone comminuted fracture patients were treated by prying reduction and external fixation support ＋ joint surface with mandibular reconstruction under arthroscopy （or bone graft） simple gram needle fixation. Results According to the Maryland foot rating Score, excellent in 31 feet, good in 11, fair in 4, and the excellent and good rate was 90.1%. Conclusion The treatment on calcaneus comminuted fracture has the advantages of curative effect with small surgical trauma, fewer complications, does not destroy the blood supply, joint surface reduct well, and it is more suitable choice for the calcaneus fracture patients accompanying with soft tissue injuries needing several operations.