摘要
目的探讨波及距下关节的跟骨关节内骨折的损伤机制和手术治疗。方法38例（44足）跟骨骨折,按Sanders分型：Ⅱ型16足,Ⅲ型26足,Ⅳ型2足,采用跟骨外侧L形延长切口切开复位、钢板内固定治疗。结果本组随访8～18个月,平均12个月。所有患者末次随访时骨折均愈合,术后完全负重时间3～6个月,平均4个月。术后按AO-FA S踝与后足功能评分标准,总评分51～100分,平均83.7分,优12足,良23足,可7足,差2足,优良率79.5%。结论跟骨关节内骨折行切开复位、钢板内固定治疗的疗效优良,充分认识骨折的损伤机制是手术成功的基础。
Objective To explore the injury mechanism and operative treatment of intra-articular fracture of calcaneus. Methods Thirty-eight patients with forty-four fracture of calcaneus were treated with open reduction of L- Type of lateral wall of calcaneus and internal-fixation of the steel plate. Among them, 16 cases were fractures of Sanders Ⅱ ,26 cases of Sanders Ⅲ ,2 cases of Sanders Ⅳ. All cases＇ fracture healing looked good at their last follow-up time. The time for completely loading on bone was 3-6 months （average, 4 months） post-operation. Results All patients were followed up from 8 to 18 months （average, 12 months）,and the clinical results were evaluated by AOFAS Foot Score. The total score was 51- 100 points （average, 83.7 points）. Excellent results were noted in 12,good in 23, fair in 7,bad in 2,the ratio of excellent and good results was 79.5%. Conclusion Intra-articular fracture of ealcaneus can be effectively treated with open reduction and inter-fixation of the steel plate.
出处
《实用骨科杂志》
2008年第11期655-658,共4页
Journal of Practical Orthopaedics
关键词
跟骨
关节内骨折
切开复位内固定
calcaneus
intra-articular fracture
open reduction and internal fixation
