| 经皮微创撬拨复位空心钉内固定治疗跟骨骨折疗效分析 |
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投稿时间：2015-10-15
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| 作者 | Author | 单位 | Address | E-Mail |
| 何晓宇 |
HE Xiao-yu |
福建医科大学附属闽东医院, 福建 宁德 355000 |
Mindong Hospital Affiliated to Fujian Medical University, Ningde 355000, Fujian, China |
hexiaoyu1024@163.com |
| 王朝强 |
WANG Chao-qiang |
福建医科大学附属闽东医院, 福建 宁德 355000 |
Mindong Hospital Affiliated to Fujian Medical University, Ningde 355000, Fujian, China |
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| 周之平 |
ZHOU Zhi-ping |
福建医科大学附属闽东医院, 福建 宁德 355000 |
Mindong Hospital Affiliated to Fujian Medical University, Ningde 355000, Fujian, China |
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| 期刊信息：《中国骨伤》2016年，第29卷，第5期，第421-423页 |
| DOI：10.3969/j.issn.1003-0034.2016.05.006 |
| 基金项目: |
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| 中文摘要:目的:探讨经皮微创撬拨复位空心钉内固定治疗跟骨骨折SandersⅡ、Ⅲ型的治疗效果。方法:选择自2012年1月至2014年1月期间采用经皮微创撬拨复位空心钉内固定治疗19例 Sanders Ⅱ、Ⅲ型跟骨骨折患者,男14 例,女5 例;年龄19～58岁,平均(38.3±4.1) 岁。测量术前后 Böhler角和 Gissane 角的变化,根据角度变化,观察关节面恢复情况,并按照Maryland 足部评分标准评价手术效果。结果:19例均获随访,随访时间(22.3±5.3)个月。术后Böhler 角和 Gissane 角较术前改善 (P<0.05).Maryland评分83.2±8.4. 结论:经皮微创撬拨复位空心钉内固定治疗跟骨骨折疗效满意,损伤小,并发症少,术后恢复快,缩短住院时间,是跟骨Sanders Ⅱ、Ⅲ型骨折的有效治疗方法之一。 |
| 【关键词】跟骨 骨折 骨折固定术,内 外科手术 |
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| Clinical efficacy of cannulated screw fixation with percutaneous Poking reduction for the treatment of calcaneal fracture |
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| ABSTRACT Objective: To investigate the clinical efficacy of cannulated screw fixation with percutaneous Poking reduction for the treatment of SandersⅡ,Ⅲ calcaneal fracture. Methods: From January 2012 to January 2014,19 patients with SandersⅡ,Ⅲ calcaneal fracture were treated with cannulated screw fixation with percutaneous Poking reduction. There were 14 males and 5 females,ranging in age from 19 to 58 years old,with an average age of (38.3±4.1) years old. The changes of Böhler angle and Gissane angle were measured and compared preoperatively and postoperatively to observe the recovery of the articular surface. The Maryland Foot Score was used to evaluate operation outcomes. Results: All the patients were followed up,and the duration ranged from 12 to 28 months with a mean of (22.3±5.3) months. The Böhler angle and Gissane angle were improved significantly after operation compared with those before operation(P<0.05). The Maryland score was 83.2±8.4. Conclusion: Treatment of calcaneal fractures with screw fixation with percutaneous Poking reduction has several advantages such as satisfactory outcome,less damage,fewer complications,quicker recovery,and shorter hospital stay,and it is one of the effective treatments for Sanders Ⅱand Ⅲ calcaneal fractures. |
| 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: | 何晓宇,王朝强,周之平.经皮微创撬拨复位空心钉内固定治疗跟骨骨折疗效分析[J].中国骨伤,2016,29(5):421~423 |
| 英文格式: | HE Xiao-yu,WANG Chao-qiang,ZHOU Zhi-ping.Clinical efficacy of cannulated screw fixation with percutaneous Poking reduction for the treatment of calcaneal fracture[J].zhongguo gu shang / China J Orthop Trauma ,2016,29(5):421~423 |
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