分析不同类型足舟骨骨折的手术治疗方式及临床疗效

Analysis of Surgical Treatment and Clinical Efficacy of Different Types of Scaphoid Fractures

目的观察、分析不同类型足舟骨骨折的手术治疗方式及临床疗效。方法选取2017年8月-2018年1月来该院就诊足舟骨骨折患者20例作为研究对象;基于骨折部位分类:背侧撕脱骨折1例,舟骨结节撕脱骨折3例,舟骨体骨折16例。其中舟骨体骨折分型:Ⅰ型4例,Ⅱ型9例,Ⅲ型3例。20例患者基于骨折类型选取钢板或者螺钉固定等手术路径展开治疗。结果足舟骨背侧撕脱骨折、结节撕脱骨折及足舟骨体部Ⅰ型骨折优良率均为100.0%。而足舟骨体部Ⅱ型骨折的优良率为66.7%,足舟骨体部且Ⅲ型骨折的优良率为33.3%。相比之下足舟骨体部Ⅲ型骨折的优良率最差。结论足舟骨骨折需要基于骨折类型的不同,应用科学的术式以及合理的内固定来获得满意的疗效。

Objective To observe and analyze the surgical treatment and clinical efficacy of different types of scaphoid fractures. Methods Twenty patients with scaphoid fractures were enrolled in our hospital from August 2017 to January2018. The fractures were classified according to the fracture site: 1 case of dorsal avulsion fracture, 3 cases of scaphoid avulsion fracture and 16 cases of scaphoid fracture. Among them, the scaphoid fracture classification was 4 cases of type I, 9 cases of type II, and 3 cases of type III. Twenty patients were treated with surgical procedures such as steel plate or screw fixation based on fracture type. Results The excellent rate of avulsion fracture, avulsion fracture of the nodule and type I fracture of the scaphoid was 100.0%. The excellent and good rate of type II fractures of the scaphoid was 66.7%,and the excellent rate of the scaphoid and type III fractures was 33.3%. In contrast, the superior rate of type III fractures in the scaphoid is the worst. Conclusion The scaphoid fracture needs to be based on the type of fracture, the application of scientific surgery and reasonable internal fixation to obtain satisfactory Results.