摘要
目的探讨跟骨骨折的多根克氏针固定及其疗效。方法对26例(31侧)Sander分型Ⅱ6侧、Ⅲ型18侧、Ⅳ型7侧的跟骨骨折患者,采用多根克氏针内固定,其中12侧取自体髂骨植骨,观察治疗前后Bohler角、Gssane角和跟骨后关节面位移恢复情况,按Maryland足部评分系统评价术后恢复程度。结果随访时间7～38个月,平均11个月。治疗前后Bohler角、Gssane角和跟骨后关节面位移恢复情况均P<0.01;按Maryland足部评分系统评价,优15侧、良11侧、可4侧、差1侧,优良率为84.2%。结论多根克氏针内固定,必要时充填自体髂骨,切口小,对皮瓣影响小,跟骨外形基本恢复正常,足部功能恢复好,近中期疗效满意。
Objective To investigate the operative options and the effects of calcaneal fractures. Methotis 26 cases （ 31 sides） caleaneal fractures in patients of Sander Ⅱ （ 6 ）, Ⅲ （ 18 ）, Ⅳ （ 7 ） were treated by internal fixation with Multi-Kirschner. Results All cases were followed up from 7 to 38 months and evaluated according to Maryland Foot Score System. The handfoot function was excellent in 15 sides, good in 7, fair in 4 and poor in 1, and excellent and good rate reached 84. 2%. The postoperative X-ray film showed that the Bolder agglc, Gssanc aggle and the post-plane of calcaneal was significant （ P 〈 0. 01 ）. Conclusions The operative incision of multi- Kirschncr internal fixation was relatively smaller and litter influence to flap. To analyze the fracture according to CT scan, and sustain in the fractures with posterior-articular, distal bone of calcaneal, euboid and scapboid, and fill in iliac bone graft as necessary. The treatment had obtained finn fixation and satisfactory effects.
出处
《中国实用医药》
2009年第18期37-38,共2页
China Practical Medicine
关键词
跟骨骨折
克氏针
内固定
Calcaneal fracture
Kirschner
Internal fixation
