摘要
目的:探讨采用跟骨锁定钢板内固定治疗复杂跟骨关节内骨折的临床疗效。方法:选取我院2012-01～2015-01收治的68例(68足)复杂跟骨关节内骨折患者为研究对象,随机分为观察组和对照组,每组各34例,分别采用锁定钢板和普通钢板内固定治疗。对两组手术时间、术中出血量、骨折愈合时间、完全负重时间、术后并发症及功能恢复情况进行比较。结果:两组手术时间、术中出血量、骨折愈合时间比较,差异无统计学意义(P>0.05);观察组完全负重时间少于对照组,差异有统计学意义(P<0.05);根据Maryland足部评分系统(MFS),观察组和对照组优良率分别为94.1%、76.5%,差异有统计学意义(P<0.05)。对照组术后并发症发生率为20.6%,高于观察组的5.8%。结论:锁定钢板内固定治疗复杂跟骨关节内骨折利于早期功能锻炼,对改善患者术后功能有更优良的效果。
Objective:To explore the clinical effect of internal fixation with calcaneal locking plate for complex intraarticular calcaneal fractures.Methods:Sixty-eight cases(68feet)with complex intraarticular calcaneal fractures in January 2012 to January 2015 were selected and randomly divided into observation group and control group,34 cases in each group.The observation group were given calcaneal locking plate treatment,the control group were given ordinary steel plate treatment,the operation time,bleeding volume,fracture healing time,full load time,postoperative complications and the joint function were compared between the two groups.Results:The operation time,bleeding volume,fracture healing time had no statistical significance(P>0.05).The full load time in the observation group was significantly lower than the control group,and the difference was statistically significant(P<0.05).The postoperative efficacy was based on the MFS score standard,the excellent and good rate of observation group and the control group were 94.1%and 76.5%,and the difference was statistically significant(P<0.05).Postoperative complication in control group was 20.6%,which was higher than observation group(5.8%).Conclusion:The internal fixation treatment with locking plate for complex intraarticular calcaneal fractures can promote the functional exercise early,and improve the postoperative function of patients better.
作者
孙克理
陈钊
高利华
王建超
袁志
SUN Keli;CHEN Zhao;GAO Lihua;WANG Jianchao;YUAN Zhi(The 71336 Military Hospital of PLA,Zhangjiakou 075000,China;Department of Traumatic Orthopedics,Henan People's Hospital;Department of Traumatic Orthopedics,Xijing Hospital of Air Force Military Medical University)
出处
《西北国防医学杂志》
CAS
2018年第12期816-820,共5页
Medical Journal of National Defending Forces in Northwest China
关键词
跟骨
骨折
锁定钢板
calcaneal
fracture
locking plate
