摘要
目的分析跟骨关节内骨折中载距突骨折移位对手术复位及固定的影响。方法以是否伴有载距突骨折移位作为划分依据,将患者分为观察组、对照组,采用CT扫描,观察跟骨冠状位、矢状、轴位扫描结果,观察两组骨折分型、错位情况、冠状位及矢状位成角。结果观察组Ⅱ型骨折38.30%、Ⅲ型骨折36.17%、Ⅳ型骨折17.02%、错位(0.89±0.10)mm、冠状位成角(6.47±0.10)°、矢状位成角(3.41±0.12)°。对照组Ⅱ型骨折72.34%、Ⅲ型骨折17.02%、Ⅳ型骨折2.13%、错位(0.32±0.20)mm、冠状位成角(3.10±0.03)°矢状位成角(1.02±0.20)°。两组比较差异有统计学意义(P<0.05)。结论跟骨关节内骨折中载距突骨折移位患者,骨折一般较为严重,发生成角及错位的风险高。手术复位及固定的过程中,螺钉的置入可能导致骨块分离,影响治疗效果。
Objective To analyze the effect of displacement of the scaphoid fracture on the reduction and fixation of the intra-articular calcaneal fracture.Methods The patients were divided into observation group and control group with CT displacement.The CT scan was used to observe the coronal,sagittal and axial scan results of the calcaneus.Dislocation,coronal and sagittal angle.Results The observation group had 38.30% of type Ⅱ fractures,36.17% of type Ⅲ fractures,17.02% of type Ⅳ fractures,dislocations(0.89±0.10)mm,coronal angles(6.47±0.10)°,and sagittal angles(3.41±0.12)°.In the control group,72.34% of type Ⅱ fractures,17.02% of type Ⅲ fractures,2.13% of type Ⅳ fractures,dislocations(0.32±0.20)mm,coronal angles(3.10±0.03)and sagittal angles(1.02±0.20)°.The difference between the two groups was statistically significant(P<0.05).Conclusion In patients with intra-articular fractures of the calcaneus,the fractures are generally severe,and the risk of angulation and dislocation is high.During the surgical reduction and fixation,the placement of the screw may cause the bone to separate and affect the therapeutic effect.
作者
付明辉
FU Minghui(Department of Orthopaedics,People's Hospital of Lishui District,Nanjing,Jiangsu 211200,China)
出处
《大医生》
2019年第9期73-74,共2页
Doctor
关键词
跟骨关节内骨折
载距突
骨折移位
手术复位
固定
成角
intra-articular calcaneal fracture
load-distortion
fracture displacement
surgical reduction
fixation
angle
