上海交通大学学报（医学版）

上海交通大学学报（医学版）

• 论著（临床研究） • 上一篇    下一篇

改良跟骨钢板治疗跟骨关节内骨折的临床效果观察

任科伟，韦山，姜雪峰，黄国伟，沈建国   

  1. 江苏省江阴市人民医院骨科，江阴 214400
  • 出版日期:2016-12-28 发布日期:2016-12-29
  • 通讯作者: 韦山，电子信箱：jieruge@sina.com。
  • 作者简介:任科伟(1983—)，男，主治医师，博士；电子信箱：drrenkewei@163.com。
  • 基金资助:

    无锡市卫生局卫生科研项目（MS201533）

Observation of the clinical efficacy of modified calcaneal plate for the treatment of intra-articular calcaneus fracture

REN Ke-wei, WEI Shan, JIANG Xue-feng, HUANG Guo-wei, SHEN Jian-guo   

  1. Department of Orthopaedics, Jiangsu Jiangyin People’s Hospital, Jiangyin 214400, China
  • Online:2016-12-28 Published:2016-12-29
  • Supported by:

    Project of Wuxi Municipal Health Bureau，MS201533

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摘要：

目的 ·观察改良跟骨钢板结合跗骨窦入路治疗跟骨关节内骨折的临床效果。方法 ·收集2012年6月—2014年10月应用改良跟骨钢板结合跗骨窦入路治疗的跟骨关节内骨折的患者35例，对临床资料及相关指标进行回顾性分析（伤口愈合情况，手术前后及骨折愈合后的跟骨B.hler角度，AOFAS踝-后足评分，并发症发生情况）。结果 · 35例患者均获得随访，平均随访时间 20.1个月（6～32个月）。1例患者术后出现表浅的皮缘干性坏死；所有患者术后B.hler角均较术前明显改善；手术后至骨折愈合，未发现明显复位丢失及外侧撞击症病例；AOFAS踝-后足评分优良率为87.5%。结论 ·利用改良跟骨钢板结合跗骨窦入路治疗跟骨关节内骨折，手术创伤小，切口并发症发生率低，固定可靠，疗效满意。

关键词: 跟骨骨折, 跗骨窦入路, 钢板

Abstract:

 Objective · To observe the clinical efficacy of sinus tarsi approach using modified calcaneal plate for the treatment of intra-articular calcaneus fractures. Methods · Clinical data and related indexes (wound healing, B.hler’s angles before and after operation and after healing, AOFAS scores, and complications) of 35 patients with intra-articular calcaneus fracture who underwent sinus tarsi approach using modified calcaneal plates from June 2012 to October 2014 were collected and retrospectively analyzed. Results · 35 cases were followed up for an average of 20.1 months (6-32 months). One of them developed superficial necrosis at the wound edge. The B.hler’s angles of all patients were significantly improved after operation. No significant loss of reduction and lateral impingement after operation until fracture healing were found. The excellent and good rates of AOFAS scores were 87.5%. Conclusion · The sinus tarsi approach using modified calcaneal plate for the treatment of intra-articular calcaneus fractures has fewer surgical traumas and wound complications with reliable fixation and satisfactory efficacy.

Key words: calcaneus fractures, sinus tarsi approach, plate