摘要
目的探讨Broden位X线监控技术在跟骨骨折手术中的应用效果。方法选择2014年5月至2018年1月山西省人民医院跟骨骨折手术患者110例作为研究对象,随机分为对照组和观察组,每组55例。对照组行常规手术治疗,观察组术中行Broden位X线监控技术。采用美国足踝外科学会(AOFAS)评分量表对两组患者手术后近期疗效率进行评估;记录并统计两组患者手术前、后Bohler角、Gissane角、跟骨高度、宽度;记录并统计两组患者手术后骨折不愈、感染、皮肤坏死、关节面复位丢失发生率,比较两组患者临床效果及并发症情况。结果观察组手术后优良率(90.91%)高于对照组(80.00%,P<0.05)。两组患者治疗前Bohler角、Gissane角、跟骨高度及跟骨宽度比较,差异未见统计学意义(P>0.05)。观察组手术后Bohler角高于对照组(P<0.05);观察组手术后Gissane角、跟骨高度及跟骨宽度均低于对照组(P均<0.05),手术后骨折不愈、感染、皮肤坏死、关节面复位丢失发生率均低于对照组(P均<0.05)。结论将Broden位X线监控技术用于跟骨骨折手术中能获得较好的近期疗效,有助于改善跟骨功能,术后并发症发生率较低,值得推广应用。
Objective To investigate the effect of Broden X-ray monitoring technique on the calcaneal fractures surgery. Methods A total of 110 cases of calcaneal fracture in Shanxi Provincial People’sHospital from May 2014 to January 2018 were selected as subjects. The patients were randomly divided into control group and observation group, with 55 cases in each group. The control group received routine surgery, and the observation group was given Broden X-ray monitoring technique. The short-term efficacy rate of the two groups was evaluated by the American Society of Foot and Ankle Surgery (AOFAS) rating scale. The preoperative and postoperative Bohler angles, Gissane angle, calcaneus height and width were recorded and counted. The incidence of fracture healing, infection, skin necrosis and articular surface reduction after surgery were compared. The clinical effects and complications of the two groups were compared. Results The excellent and good rate of Broden X-ray monitoring technique in the observation group (90.91%) was higher than that in the control group (80.00%, P<0.05). There was no significant difference in Bohler angle, Gissane angle, calcaneus height or calcane width before treatment between the two groups (P>0.05). The Bohler angle in the observation group was higher than that in the control group (P<0.05). The Gissane angle, calcaneus height and calcane width in the observation group were lower than that in the control group (P<0.05). The incidences of fracture healing, infection, skin necrosis and articular surface reduction after operation in the observation group were lower than those in the control group (P<0.05). Conclusions Broden X-ray monitoring technology can obtain high short-term efficacy in calcaneal fracture surgery, which can improve the function of calcaneus. The postoperative complication rate is low, which is worthy of popularization and application.
作者
李世怀
Li Shihuai(Department of Orthopaedics, Shanxi Provincial People’sHospital, Taiyuan 035100, China)
出处
《中国实用医刊》
2019年第10期29-32,共4页
Chinese Journal of Practical Medicine
关键词
Broden位X线监控技术
跟骨骨折手术
近期疗效
跟骨功能
术后并发症
Broden X-ray monitoring technology
Calcaneal fracture surgery
Short-term efficacy rate
Calcaneus function
Postoperative complications
