| 经跗骨窦间隙克氏针加全螺纹松质骨螺钉内固定治疗跟骨骨折 |
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投稿时间：2013-09-27
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| 作者 | Author | 单位 | Address | E-Mail |
| 林聪祥 |
LIN Cong-xiang |
平阳县中医院, 浙江 平阳 325401 |
Department of Orthopaedics, Pingyang County Hospital of Traditional Chinese Medicine, Pingyang 325401, Zhejiang, China |
linxing0529@sina.com |
| 施正阳 |
SHI Zheng-yang |
平阳县中医院, 浙江 平阳 325401 |
Department of Orthopaedics, Pingyang County Hospital of Traditional Chinese Medicine, Pingyang 325401, Zhejiang, China |
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| 许裔敏 |
XU Yi-min |
平阳县中医院, 浙江 平阳 325401 |
Department of Orthopaedics, Pingyang County Hospital of Traditional Chinese Medicine, Pingyang 325401, Zhejiang, China |
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| 杨蒙 |
YANG Meng |
平阳县中医院, 浙江 平阳 325401 |
Department of Orthopaedics, Pingyang County Hospital of Traditional Chinese Medicine, Pingyang 325401, Zhejiang, China |
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| 王家林 |
WANG Jia-lin |
平阳县中医院, 浙江 平阳 325401 |
Department of Orthopaedics, Pingyang County Hospital of Traditional Chinese Medicine, Pingyang 325401, Zhejiang, China |
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| 陈肖健 |
CHEN Xiao-jian |
平阳县中医院, 浙江 平阳 325401 |
Department of Orthopaedics, Pingyang County Hospital of Traditional Chinese Medicine, Pingyang 325401, Zhejiang, China |
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| 张伟 |
ZHANG Wei |
平阳县中医院, 浙江 平阳 325401 |
Department of Orthopaedics, Pingyang County Hospital of Traditional Chinese Medicine, Pingyang 325401, Zhejiang, China |
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| 支绍信 |
ZHI Shao-xin |
平阳县中医院, 浙江 平阳 325401 |
Department of Orthopaedics, Pingyang County Hospital of Traditional Chinese Medicine, Pingyang 325401, Zhejiang, China |
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| 期刊信息：《中国骨伤》2014年，第27卷，第7期，第551-554页 |
| DOI：10.3969/j.issn.1003-0034.2014.07.005 |
| 基金项目: |
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中文摘要:
目的：探讨经跗骨窦间隙入路克氏针加全螺纹松质骨螺钉内固定治疗跟骨骨折的临床疗效。
方法：自2009年1月至2012年12月采用微创克氏针加全螺纹松质骨螺钉内固定及人工骨植骨治疗跟骨骨折患者20例，男12例，女8例；年龄21～65岁，平均39岁；左足8例，右足12例。骨折按照Sanders分型：Ⅱ型8例，Ⅲ型10例，Ⅳ型2例。
结果：20例患者术后获随访，时间6～16个月，平均12个月。切口均甲级愈合。Böhler角由术前的（17.75±4.22）°增大到术后的（26.85±7.37）°（t=4.308，P=0.000）.Gissane角由术前的（137.05±24.91）°减小到术后的（113.75±13.17）°（t=7.083，P=0.000）.术后3个月AOFAS功能评分85.50±7.99，优5例，良11例，可3例，差1例。
结论：微创克氏针加全螺纹松质骨螺钉内固定，操作简单，术后固定可靠，易于取出，费用低，并发症少，是治疗跟骨骨折的良好选择，但要把握适应证。 |
| 【关键词】跟骨 骨折 骨折固定术，内 |
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| Treatment of calcaneal fractures by fixation of Kirschner needle and thread cancellous bone screw through sinus tarsi interstice |
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ABSTRACT
Objective: To explore the effect of fixation of Kirschner needle and thread cancellous bone screw through the sinus tarsi interstice for the treatment of calcaneal fractures.
Methods: From January 2009 to December 2012,20 patients with calcaneal fracture were treated by minimally invasive Kirschner wire and threaded cancellous bone screw fixation and bone graft,including 12 males and 8 females with an average age of 39 years old ranging from 21 to 65. Among them,8 cases were left foot,12 were right foot. According to Sanders's classification,8 cases were typeⅡ,10 cases were type Ⅲ,2 cases were type Ⅳ.
Results: All patients were followed up from 6 to 16 months with an average of 12 months. The incision were healed. Böhler angle were increased from preoperative (17.75±4.22)° to postoperative (26.85±7.37)° (t=4.308,P=0.000). Gissane angle were reduced from preoperative (137.05±24.91)° to postoperative (113.75±13.17)° (t=7.083,P=0.000). At 3 months after operation,the scores of AOFAS were 85.50±7.99;the results were excellent in 5 feet and good in 11 feet,fair in 3 feet,and poor in 1 foot.
Conclusion: Minimally invasive fixation of Kirschner needle and thread cancellous bone screw fixation is a simple operation,it can get reliable fixation,easy to remove,low cost,less postoperative complications,and it is a good treatment of calcaneal fracture. |
| KEY WORDS Calcaneus Fractures 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: | 林聪祥,施正阳,许裔敏,杨蒙,王家林,陈肖健,张伟,支绍信.经跗骨窦间隙克氏针加全螺纹松质骨螺钉内固定治疗跟骨骨折[J].中国骨伤,2014,27(7):551~554 |
| 英文格式: | LIN Cong-xiang,SHI Zheng-yang,XU Yi-min,YANG Meng,WANG Jia-lin,CHEN Xiao-jian,ZHANG Wei,ZHI Shao-xin.Treatment of calcaneal fractures by fixation of Kirschner needle and thread cancellous bone screw through sinus tarsi interstice[J].zhongguo gu shang / China J Orthop Trauma ,2014,27(7):551~554 |
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