摘要
目的 :研究跟骨Gissane’s角的数值范围、跟骨骨折后Gissane’s角的改变以及Gissane’s角与跟骨骨折预后间的关系。方法 :测量 12 0例正常跟骨侧位x线平片和 30例跟骨骨折侧位x平片的Gissane’s角 ;随访 35例CrabyⅡ型以上跟骨骨折患者进行临床Maryland评分。结果 :正常跟骨的Gissane’s角为12 3 .8°± 8.7°(10 3 .3°~ 14 6 .8°) ,无性别差异 ;跟骨骨折后Gissane’s角为 131.2°± 10 .2°(12 4.8°~ 15 7.5°) ,明显大于正常Gissane’s角 ;Gissane’s角正常的跟骨骨折治疗疗效Maryland评分优良率为 6 8.5 % ,而Gissane’s角不正常的跟骨骨折Maryland评分优良率仅为 5 .8%。结论 :Gissane’s角的正常范围为 110°~ 14 0° ,骨折后呈增大趋势 ;Gissane’s角不是决定跟骨骨折预后的主要因素 ,但跟骨骨折后应尽可能恢复Gissane’s角的正常。
Objective: To study the normal range of calcaneal Gissane's angle, its changes after fracture and the relationship between the Gissane's angle and the prognosis of calcaneal fracture. Methods: The Gissanes's angles were measured on the lateral X ray of 120 normal and 30 fracture calcaneus.The clinical results of 35 calcaneal fracture patients were evaluated with Maryland's standard.Results: Normal Gissane's angle is 123.8°±8.7°, and it increase to 131.2°±10.2° after fracture.Evaluated with Maryland's standard, 68.5% fracture patients with normal Gissane's angle have a good results, while it is 5.8% for the fracture patients with abnormal Gissane's angle.Conclusion: The normal range of Gissane's angle is 110°~140°.Though Gissane's angle isn't the major factor to affect the cure of calcaneal fracture, it's better to restore the Gissane's angle into normal range after calcaneal fracture.
出处
《中国临床解剖学杂志》
CSCD
北大核心
2001年第1期52-53,共2页
Chinese Journal of Clinical Anatomy