摘要
目的探讨经皮撬拨复位结合外固定支架治疗粉碎性跟骨骨折的疗效。方法 21例跟骨粉碎性骨折采用经皮撬拨复位联合外固定支架治疗,测量并比较术前术后B hler角,根据美国足踝骨科协会（AOFAS）踝-后足评分系统进行评分。结果 21例均获随访,时间5~42（23.2±2.7）个月。跟骨在侧、轴位上的形态较术前明显恢复：术前B hler角-21~40（11.2±3.7）°,术后拆除外固定后B hler角18~40（32.4±6.8）°,术前术后比较差异有统计学意义（P〈0.05）。踝-后足功能进行评分为67~95分,优8足,良10足,可2足,差1足,优良率为85.7%。结论经皮撬拨结合外固定支架固定治疗粉碎性跟骨骨折具有损伤小、并发症少等优点,疗效确切。
Objective To discuss the therapeutic effect of percutaneous reduction by leverage and external fixation for comminuted calcaneal fracture.Methods A total of 21 patients with comminuted calcaneal fracture were managed with percutaneous reduction by leverage and external fixation.Bhler angle was measured on the plain radiography before and after operation.The clinical rating system for the ankle-hindfoot according to American Orthopedic Foot Ankle Society（AOFAS） was used for clinical assessment.Results All 21 patients were followed up for 5～42 months（average 23.2±2.7 months）.The calcaneal axial shape was better than the preoperative.The Bhler angle was recovered from-21°～40°（average 11.2±3.7°） to 18°～40°（average 32.4±6.8°）,and there was statistically significant before and after operation（P0.05）.Clinical results were assessed according to ankle-hindfoot scores,the results were excellent in 8 feet,good in 10,fair in 2 and poor in 1.Conclusions The method of percutaneous reduction by leverage and external fixation in treating comminuted calcaneal fracture is with less damage,fewer complications and good effect.
出处
《临床骨科杂志》
2010年第6期647-649,共3页
Journal of Clinical Orthopaedics
关键词
撬拨复位
外固定器
跟骨骨折
骨折
粉碎性
poking reduction
external fixators
calcaneus fracture
fractures
comminuted
