摘要
目的 :从解剖学角度探讨跟骨关节内骨折的分类及切开复位多支骨圆针交叉固定的疗效。方法 :采用手术切开撬拨复位多支骨圆针交叉固定 ,使粉碎的跟骨成为较稳定的加固结构 ,结合功能位短腿石膏固定 ,治疗各种类型 (Paley分类 )的跟骨关节内骨折 30例 35足。术后 2 .5个月拆膏拔针 ,康复锻练。结果 :除术后不足半年的 6例外 ,余 2 4例均获随访 ,随访期 6月～ 33个月 ,平均 13个月 ,随访病例均获得解剖或接近解剖复位及满意的足功能 ,按天津医院骨科评分标准 ,评分均在 85～ 10 0分之间 ,优良率达 10 0 %。结论 :本手术简便易行 ,符合力学要求 ,不须特殊器械 。
Objective: From anatomical views,to investigate the classification of calcaneal intra-articular fracture ,and therapeutic effects of open reduction and cross fixation with Kirchner’s pins.Methods:The fracture was redused by leverage and cross fixation with several Kirchner’s pins to make the comminuted calcaneus a more stable structure.And the functional short cast of leg fixation was needed for protection. After 2.5 months,the cast and pins were removed,followed by functional exercises.Results:24 cases were followed up from 6 to 33 months(average 13 months).They all reached the anatomical reduction standard or proximate anatomical reduction standard on foot function.The high grade of this operation was 100 percent (score range from 85～100).Conclusion:This operation observes the biomechanical principle and does not need specific instruments.It is simple,easy and reliable.
出处
《解剖与临床》
2003年第3期131-134,共4页
Anatomy and Clinics
