切开复位锁定钢板内固定治疗跟骨骨折近期疗效分析

发布时间：2018-08-21 10:21

【摘要】：目的:探讨跟骨骨折锁定钢板内固定治疗疗效,归纳总结经验。方法:收集我院2012年01月~2014年03月跟骨骨折51例,实际随访32例43足,按Sanders分型:II型18例、Ⅲ型18例、Ⅳ型7例,所有患足均为闭合性骨折,术前及术后测量跟骨侧位片高度、长度、宽度、Bohler角及Gissane角变化,评估骨折复位情况,术前术后按Maryland足部评分系统评估足部功能,并进行t检验。结果:实际随访32例43足,均获随访12个月。末次随访骨折均愈合,平均愈合时间为10-16周,患足功能满意;2例伤口感染,经换药处理后痊愈,1例出现皮肤坏死,经植皮后痊愈,1例距下关节炎引起疼痛,发生在骨性愈合后1年出现患足的疼痛,建议患者再次行关节融合术,术后症状消失;术前术后分别测量Sanders II、III、IV型跟骨侧位片高度、长度、宽度、Bohler角及Gissane角并进行t检验,统计数据具有差异性(P0.05);术前与术后Sanders II、III、IV型Maryland评分进行t检验,差异有统计学意义(P0.05),Maryland评分Sanders II型:优10例,良7例,可1例,优良率为94.4%,Sanders III型:优9例,良6例,可3例,优良率为83.3%,Sanders IV型:优2例,良3例,可1例,差1例,优良率为71.4%。结论:切开复位锁定钢板内固定治疗跟骨骨折,疗效满意。
[Abstract]:Objective: to investigate the effect of locking plate fixation for calcaneal fracture and summarize the experience. Methods: 51 cases of calcaneal fracture were collected from January 2012 to March 2014 in our hospital. 32 cases (43 feet) were followed up. According to Sanders classification, 18 cases were type II, 18 cases were type 鈪，

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