摘要
目的观察和分析切开复位Y形钢板内固定治疗跟骨关节内骨折的疗效。方法1998年4月～2001年4月对68例82侧跟骨关节内骨折,经跟骨外侧L形切口在C臂机透视下利用Y形钢板进行切开复位内固定。术前术后进行放射学评估。术后一年临床评估采用Maryland足部评分系统和Morrey方法。结果68例82侧平均随访26月,采用Maryland足部评分系统评估手术疗效,优58侧,良16侧,可6侧,优良率达90.24%。距下关节活动度无明显影响为64侧,轻度受限12侧,中度为4侧,显著受限2侧。术后跟骨长度、高度、宽度、距下后关节面复位及Bhler角和Gissane角均得到良好的恢复。结论熟悉跟骨解剖结构、掌握好手术指征和手术时机、解剖复位、早期功能锻炼,利用Y形钢板切开复位内固定治疗跟骨关节内骨折可以取得满意的疗效。
Objective To observe and analyze the outcomes o f open reduction and Y plate internal fixation in treatment of intra-articular calcaneal fractures.Methods Open reduction and Y plate internal f ix-ation by the extended L-shaped lateral approach were performed in 68pati ents with 82cases of intra-articula r calcaneal fractures under X-ray.Results82cases were followed up for an avera ge of 26months,and the clinical results were evaluated wit h the Maryland Foot Score.58cases ac hieved excellent results,16good,6fair,with the rate of excellent and good re sults being 90.24%.Conclusion Open reduction and Y plate internal fixation can obtain good clinical re sults in treatment of intra-articul ar calcaneal fractures.[
出处
《中华创伤骨科杂志》
CAS
CSCD
2002年第3期218-222,共5页
Chinese Journal of Orthopaedic Trauma
