距下关节撑开植骨融合术在跟骨骨折畸形愈合治疗中的应用研究

发布时间：2018-04-12 19:47

本文选题：跟骨骨折畸形愈合 + 距下关节撑开融合术　；参考：《中国修复重建外科杂志》2017年06期

【摘要】：目的对距下关节撑开植骨融合术在跟骨骨折畸形愈合治疗中的应用进行综述。方法广泛查阅国内外有关距下关节撑开植骨融合术治疗跟骨骨折畸形愈合的文献,对其发展历史、手术方法、术后问题、适应证以及疗效等进行总结分析。结果距下关节撑开植骨融合术是治疗跟骨骨折畸形愈合的主要术式之一,手术包括距下关节融合和植入骨块矫正后足畸形两部分。与其他治疗方式相比,距下关节撑开植骨融合术可以有效矫正跟骨畸形愈合引起的并发症,恢复距骨、跟骨的高度以及矫正距骨倾斜角的丧失,缓解疼痛。该术式手术操作相对简便,手术并发症少,临床效果相对满意,可有效降低跟骨骨折畸形愈合患者的病残率,改善患者生活质量。结论距下关节撑开植骨融合术在跟骨骨折畸形愈合的治疗中取得了显著进展,但其存在术后骨不愈合及植入骨块吸收等缺陷,尚需进一步研究。
[Abstract]:Objective to review the application of subtalar arthrodesis in the treatment of calcaneal fracture malunion.Methods the literature about subtalar arthrodesis and fusion for the treatment of malunion of calcaneal fracture was reviewed extensively. The development history, surgical methods, postoperative problems, indications and curative effects were summarized and analyzed.Results distraction and fusion of subtalar joint was one of the main methods for the treatment of malunion of calcaneal fracture. The operation consisted of subtalar joint fusion and bone graft for correction of hindfoot deformity.Compared with other treatments, subtalar arthrodesis and fusion can effectively correct the complications caused by malunion of calcaneus, recover the talus, the height of calcaneus and the loss of oblique angle of talus, and relieve the pain.The operation is relatively simple, with few complications and satisfactory clinical results. It can effectively reduce the disability rate of patients with malunion of calcaneal fracture and improve the quality of life of the patients.Conclusion the subtalar arthrodesis and bone graft fusion have made great progress in the treatment of calcaneal fracture malunion, but the defects of bone nonunion and bone graft absorption need further study.
【作者单位】：四川大学华西医院骨科;
【分类号】：R687.3

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