多发跖骨基底部不稳定骨折合并跖跗关节损伤行切开复位内固定的临床疗效探讨

Multiple Metatarsal Base Unstable Fractures with Tarsometatarsal Joint Injury to Investigate the Clinical Effect of Open Reduction and Internal Fixation

目的探讨针对多发跖骨基底部不稳定骨折合并跖跗关节损伤患者,观察临床选择切开复位内固定方法完成治疗后获得的临床效果。方法选取我院2010年2月~2015年2月多发跖骨基底部不稳定骨折合并跖跗关节损伤患者70例。针对所有患者临床选择切开复位内固定的方法进行治疗。观察完成治疗后获得的临床效果。结果根据AOFAS足评分标准进行评定发现,优患者23例,良患者39例,一般患者7例,差患者1例。临床治疗优良率为88.57%。结论针对多发跖骨基底部不稳定骨折合并跖跗关节损伤患者,临床选择切开复位内固定方法进行治疗,能够将患者的足部功能有效恢复,防止患者出现足骨性关节炎的情况,最终显著提高合并症患者的生活质量。

Objective To study on multiple metatarsal base unstable fracture merge plantar hocks injury patients, and observe the clinical choice open reduction and internal fixation method for clinical effect after treatment. Methods To choose our 2, 2010~2, 2015 multiple metatarsal base unstable fracture merge plantar hocks, 70 cases of patients with injury. For all patients with clinical choose the method of open reduction and internal fixation for treatment. Clinical effect observation after treatment. Results According to the discoveries of the AOFAS sufficient criteria for evaluation, 23 patients with optimal, 39 patients with benign, usually 7 cases of patients, patients with poor in 1 case. The rate of good clinical treatment was 88.57%. ConclusionIn view of the multiple metatarsal base unstable fracture merge plantar hocks injury patients, clinical choice treatment, open reduction and internal fixation method can restore function of patients with foot, to prevent the occurrence of foot osteoarthritis patients, eventually improve the quality of life in patients with complications significantly.