J4 ›› 2014, Vol. 13 ›› Issue (4): 36-38.

• 临床医学 • 上一篇    下一篇

切开复位锁定钢板内固定治疗跟骨骨折100例临床观察

  

  1. 大理学院附属医院,云南大理 671000
  • 收稿日期:2013-05-15 出版日期:2014-04-15 发布日期:2014-04-15
  • 作者简介:姚汝斌,主治医师,主要从事骨科临床实践与教学研究.

Clinical Observation of 100 Cases with Calcaneal Fractures Undergoing the Open Reduction and
Internal Fixation of Locking Plate

  1. Affiliated Hospital of Dali University,Dali,Yunnan 671000,China
  • Received:2013-05-15 Online:2014-04-15 Published:2014-04-15

摘要:

目的:探讨切开复位锁定钢板内固定治疗跟骨骨折的临床疗效。方法:分析2008年9月至2011年9月,行切开复位植骨锁
定钢板内固定治疗跟骨骨折100例(共103足)。男性76例,女性24例,其中单侧97例,双侧3例。年龄18~64岁,平均(33.19±5.97)岁。按Sanders分型域II型28例,III型62例,IV型10例。均采用跟骨外侧L型切口,切开复位锁定钢板内固定。结果:92例获得随访,随访时间6~30个月,平均18个月。应用Maryland评分系统进行疗效评定。优46例、良40例、中4例(1例双侧跟骨骨折),优良率93.4%。其中1例出现骨不愈合,再次行距下关节融合术,1例出现皮肤坏死经换药后治愈,1例出现腓肠神经症状。结论:切开复位植骨锁定钢板内固定是治疗跟骨骨折的有效方法。

关键词: 切开复位, 内固定, 跟骨骨折

Abstract:

Objective:To investigate the clinical effects of intra articular calcaneal fractures undergoing the open reduction and
internal fixation of locking plate. Methods:One hundred patients with one hundred and three fracture of calcaneus who were treated with open reduction and internal fixation of the locking plate from September 2008 to September 2011 were analyzed. There were 76 cases of male patients and 24 cases of female. Among them,97 cases were unilateral and 3 cases were bilateral. Sander type,28 cases were fractures of Sanders II,62 cases of Sanders III,10 cases of Sanders IV. All patients were treated with open reduction of L Type of lateral wall of calcaneus and internal fixation of the locking plate. Results:92 cases were followed up from 6 to 30 months (average,18 months),and the clinical results were evaluated by Maryland Scale. Excellent results were noted in 46,good in 40,fair in 4,the ratio of excellent and good results was 93.4%. Conclusion:Open reduction and internal fixation of the locking plate can be an effective method for treating the fracture of calcaneus currently.

Key words: open reduction, internal fixation, calcaneal fractures

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