| 跟骨骨折钢板内固定手术中存在的问题及对策 |
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投稿时间：2009-10-21
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| 作者 | Author | 单位 | Address | E-Mail |
| 校佰平 |
XIAO Bai-ping |
宁波市第六医院创伤骨科,浙江 宁波 315040 |
Department of Orthopedic Trauma,the Ningbo Sixth Hospital,Ningbo 315040,Zhejiang,China |
xbp0412@126.com |
| 李明 |
LI Ming |
宁波市第六医院创伤骨科,浙江 宁波 315041 |
Department of Orthopedic Trauma,the Ningbo Sixth Hospital,Ningbo 315041,Zhejiang,China |
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| 王邦荣 |
WANG Bang-rong |
宁波市第六医院创伤骨科,浙江 宁波 315042 |
Department of Orthopedic Trauma,the Ningbo Sixth Hospital,Ningbo 315042,Zhejiang,China |
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| 周龙 |
ZHOU Long |
宁波市第六医院创伤骨科,浙江 宁波 315043 |
Department of Orthopedic Trauma,the Ningbo Sixth Hospital,Ningbo 315043,Zhejiang,China |
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| 俞怡辉 |
YU Yi-hui |
宁波市第六医院创伤骨科,浙江 宁波 315044 |
Department of Orthopedic Trauma,the Ningbo Sixth Hospital,Ningbo 315044,Zhejiang,China |
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| 王庆 |
WANG Qing |
宁波市第六医院创伤骨科,浙江 宁波 315045 |
Department of Orthopedic Trauma,the Ningbo Sixth Hospital,Ningbo 315045,Zhejiang,China |
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| 魏军渔 |
WEI Jun-yu |
宁波市第六医院创伤骨科,浙江 宁波 315046 |
Department of Orthopedic Trauma,the Ningbo Sixth Hospital,Ningbo 315046,Zhejiang,China |
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| 期刊信息：《中国骨伤》2009年，第22卷，第12期，第897-898页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
| 基金项目: |
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中文摘要:
目的：回顾性分析跟骨骨折钢板内固定手术治疗中的操作及结果，找出存在的问题并提出相应的对策，以减少手术并发症的发生。
方法：2008年6月至2009年4月收治156例患者，男121例，女35例；年龄18～59岁，平均41岁。32例双跟骨骨折，其中23例同时行双跟骨手术治疗，手术治疗跟骨共179足。对所有患者的手术记录予以分析，以便发现存在的问题及不足。
结果：179个跟骨骨折中，有31足(17.3%)术后伤口出现问题：伤口感染不愈合26足(14.5%),皮缘坏死5足(2.8%),伤口不愈合。跟骨骨折钢板内固定手术存在许多问题，从手术设计到具体操作，以及骨折复位和固定。
结论：手术的改良、微创操作、简单而有效的内固定是避免跟骨骨折手术并发症的惟一途径。 |
| 【关键词】跟骨 骨折 骨折固定术,内 外科手术 |
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| Problems and solutions of plate internal fixation for the treatment of calcaneal fractures |
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ABSTRACT
Objective: To retrospective analysis operating procedures and results of calcaneal fractures treated with plate fixation,identify problems and propose measures to reduce surgical complications.
Methods: From June 2008 to April 2009,156 patients were reviewed,including 121 males and 35 females,ranging in age from 18 to 59 years,with an average of 41 years. Thirty-two patients had bilateral calcaneal fractures. Twenty-three patients were surgically treated on both calcaneus at the same time. Total 179 calcaneus were treated with operation. The operation records of all patients were analyzed in order to find the problems and deficiencies.
Results: Among 179 calcaneal fractures,31 feet(17.3%)had postoperative wound problems: wound infection and non-healing were found in 26 feet(14.5%),skin flap necrosis in 5 feet(2.8%). There were a lot of problems of plate internal fixation for the treatment of calcaneal fractures,including operation design,operative technique,as well as fracture reduction and fixation.
Conclusion: The following methods are the only way to avoid operative complications for the treatment of calcaneal fractures:improved surgical technique,minimally invasive operation,simple and effective internal fixation. |
| KEY WORDS Calcaneus Fractures Fracture fixation,internal Surgical procedures,operative |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 校佰平,李明,王邦荣,周龙,俞怡辉,王庆,魏军渔.跟骨骨折钢板内固定手术中存在的问题及对策[J].中国骨伤,2009,22(12):897~898 |
| 英文格式: | XIAO Bai-ping,LI Ming,WANG Bang-rong,ZHOU Long,YU Yi-hui,WANG Qing,WEI Jun-yu.Problems and solutions of plate internal fixation for the treatment of calcaneal fractures[J].zhongguo gu shang / China J Orthop Trauma ,2009,22(12):897~898 |
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