| 锁定钛板结合植骨与非植骨治疗跟骨骨折22例疗效比较 |
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投稿时间：2010-12-25
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| 作者 | Author | 单位 | Address | E-Mail |
| 张路 |
ZHANG Lu |
大连医科大学附属二院骨科, 辽宁 大连 116023 |
Department of Orthopaedics, the Second Affiliated Hospital of Dalian Medical University, Dalian 116023, Liaoning, China |
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| 赵文志 |
ZHAO Wen-zhi |
大连医科大学附属二院骨科, 辽宁 大连 116023 |
Department of Orthopaedics, the Second Affiliated Hospital of Dalian Medical University, Dalian 116023, Liaoning, China |
drzwz@163.com |
| 方旭 |
FANG Xu |
大连医科大学附属二院骨科, 辽宁 大连 116023 |
Department of Orthopaedics, the Second Affiliated Hospital of Dalian Medical University, Dalian 116023, Liaoning, China |
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| 何盛为 |
HE Sheng-wei |
大连医科大学附属二院骨科, 辽宁 大连 116023 |
Department of Orthopaedics, the Second Affiliated Hospital of Dalian Medical University, Dalian 116023, Liaoning, China |
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| 米立东 |
MI Li-dong |
大连医科大学附属二院骨科, 辽宁 大连 116023 |
Department of Orthopaedics, the Second Affiliated Hospital of Dalian Medical University, Dalian 116023, Liaoning, China |
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| 杜广宇 |
DU Guang-yu |
大连医科大学附属二院骨科, 辽宁 大连 116023 |
Department of Orthopaedics, the Second Affiliated Hospital of Dalian Medical University, Dalian 116023, Liaoning, China |
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| 孙传秀 |
SUN Chuan-xiu |
大连医科大学附属二院骨科, 辽宁 大连 116023 |
Department of Orthopaedics, the Second Affiliated Hospital of Dalian Medical University, Dalian 116023, Liaoning, China |
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| 孙雪刚 |
SUN Xue-gang |
大连医科大学附属二院骨科, 辽宁 大连 116023 |
Department of Orthopaedics, the Second Affiliated Hospital of Dalian Medical University, Dalian 116023, Liaoning, China |
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| 期刊信息：《中国骨伤》2011年，第24卷，第4期，第305-307页 |
| DOI：10.3969/j.issn.1003-0034.2011.04.011 |
| 基金项目: |
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中文摘要:
目的：应用锁定钛板结合植骨手术治疗累及距下关节的跟骨骨折是否对维持跟骨高度及关节面平整有益。
方法：2007年1月至2008年1月, 应用植骨与非植骨结合锁定钛板治疗跟骨骨折22 例(分为植骨组和非植骨组), 男17 例, 女5 例；年龄18～59 岁, 平均35岁。SandersⅢ型14例, Ⅳ型8 例。植骨组采用取自体髂骨植骨填充缺损, 复位后锁定钛板内固定；而非植骨组则不进行植骨, 复位后单纯锁定钛板内固定。对两组患者手术前后的Böhler角与Gissane角进行测量, 并采用Maryland足部功能评分对术后6个月、1、2年的功能情况进行随访和比较。
结果：22例患者均获得随访, 平均随访时间25个月。两组手术方式对术后Böhler角与Gissane角的恢复差异无统计学意义(P>0.05), 术后6个月、1、2年Maryland足部功能评分结果差异均无统计学意义(P>0.05), 植骨组获得优的例数分别为6、7、7例；非植骨组获得优的例数分别为5、6、7例。
结论：植骨在手术治疗跟骨骨折中并不具有优势。 |
| 【关键词】跟骨 骨折 骨移植 骨折固定术，内 |
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| A study of 22 displaced intraarticular calcaneal fractures using locking plates with and without bone graft |
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ABSTRACT
Objective: To analyze locking plates with bone graft fusion in treating displaced intraarticular calcaneal fractures and determine whether it is beneficial in maintaining restoration of calcaneal height and anatomic reduction of the articular surface.
Methods: From January 2007 to January 2008, 22 patients with displaced intraarticular calcaneal fractures were treated with locking plates with and without bone graft (divided into the bone graft group and non-bone graft group). There were 17 males and 5 females, ranging in age from 18 to 59 years with the mean of 35 years. Sanders Ⅲ was in 14 cases and Sanders Ⅳ in 8 cases. Autologous iliac bone filled defects with locking plates fixation for the bone graft group;just locking plates fixation were performed for non-bone graft group. The Böhler angle and Gissane angle were measured before and after operation. The foot function of two groups were compared according to Maryland standard at the 6th month, 1, 2 years after operation.
Results: All patients were followed up with an average of 25 months. There was no significant difference in the recovery of Böhler angle and Gissane angle between two groups(P>0.05). After the 6 months, 1, 2 years, there was no significant difference in the foot function between two groups(P>0.05), in bone graft group, excellent result was in 6, 7, 7 cases respectively;and in non-bone graft group, excellent results in 5, 6, 7 cases respectively.
Conclusion: Bone graft in the surgical treatment of calcaneal fractures is not an advantage. |
| KEY WORDS Calcaneus Fractures Bone transplantation Fracture fixation, internal |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 张路,赵文志,方旭,何盛为,米立东,杜广宇,孙传秀,孙雪刚.锁定钛板结合植骨与非植骨治疗跟骨骨折22例疗效比较[J].中国骨伤,2011,24(4):305~307 |
| 英文格式: | ZHANG Lu,ZHAO Wen-zhi,FANG Xu,HE Sheng-wei,MI Li-dong,DU Guang-yu,SUN Chuan-xiu,SUN Xue-gang.A study of 22 displaced intraarticular calcaneal fractures using locking plates with and without bone graft[J].zhongguo gu shang / China J Orthop Trauma ,2011,24(4):305~307 |
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