| 空心钉内固定治疗累及中距关节面的载距突骨折 |
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投稿时间：2018-11-06
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| 作者 | Author | 单位 | Address | E-Mail |
| 李陶冶 |
LI Tao-ye |
杭州市第三人民医院骨科, 浙江 杭州 310009 |
Department of Orthopaedics, Hangzhou Third Hospital, Hangzhou 310009, Zhejiang, China |
604049741@qq.com |
| 瞿杭波 |
QU Hang-bo |
杭州市第三人民医院骨科, 浙江 杭州 310009 |
Department of Orthopaedics, Hangzhou Third Hospital, Hangzhou 310009, Zhejiang, China |
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| 张贻春 |
ZHANG Yi-chun |
杭州市第三人民医院骨科, 浙江 杭州 310009 |
Department of Orthopaedics, Hangzhou Third Hospital, Hangzhou 310009, Zhejiang, China |
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| 雷文涛 |
LEI Wen-tao |
杭州市第三人民医院骨科, 浙江 杭州 310009 |
Department of Orthopaedics, Hangzhou Third Hospital, Hangzhou 310009, Zhejiang, China |
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| 何帮剑 |
HE Bang-jian |
浙江中医药大学第一临床医学院骨科, 浙江 杭州 310006 |
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| 童培建 |
TONG Pei-jian |
浙江中医药大学第一临床医学院骨科, 浙江 杭州 310006 |
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| 期刊信息：《中国骨伤》2019年，第32卷，第11期，第1048-1052页 |
| DOI：10.3969/j.issn.1003-0034.2019.11.014 |
| 基金项目: |
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中文摘要:
目的：探讨空心钉内固定治疗跟骨单纯载距突骨折的临床疗效。
方法：自2012年8月至2017年6月，采用空心钉内固定治疗累及中距关节面的载距突骨折患者13例，男10例，女3例，年龄26~58岁。测量并比较术前、术后1年CT冠状面上跟骨宽度及中距、后距关节间隙距离以评估距下关节面平整度，术后1年采用美国足踝外科协会（American Orthopaedic Foot and Ankle Society，AOFAS）踝与后足评分标准对其临床疗效进行评估。
结果：13例患者获得随访，时间9~70个月。骨折均骨性愈合，愈合时间8~16周。术后未出现距下关节炎、腱鞘炎等并发症。跟骨宽度由术前的46.2~52.7 mm降至术后的35.2~39.2 mm，中距关节间隙由术前的4.5 ~4.8 mm降至术后的1.9~2.2 mm，后距关节间隙由术前的2.4~2.8 mm降至术后的1.9~2.3 mm。术后1年AOFAS评分为77~94，其中优1例，良12例。
结论：采用2枚空心钉交叉内固定治疗累及中距关节面的载距突骨折疗效满意，载距突骨折块可以得到良好复位，中距关节面恢复平整，足部功能改善明显。 |
| 【关键词】跟骨 骨折 骨折固定术,内 |
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| Cannulated screw internal fixation for sustentaculum tali fractures with articular surface |
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ABSTRACT Obiective: To explore clinical efficacy of cannulated screw internal fixation in treating sustentaculum tali fractures with articular surface.
Methods: From August 2012 to June 2017,13 sustentaculum tali fracture patients with articular surface were treated by cannulated screw internal fixation,including 10 males and 3 females,aged from 26 to 58 years old. Joint plane flatness was evaluated by calcaneal width,clearance distance of middle-range and posterior talar articular surface on coronal position of CT scan before operation and 1 year after operation. AOFAS score at 1 year after operation was applied to evaluate clinical efficacy.
Results: All patients were followed up from 9 to 70 months. The fractures were healed well from 8 to 16 weeks. No subtalar arthritis and tenosynovitis occurred. Calcaneal width before operation was from 46.2 to 52.7 mm,and decreased from 35.2 to 39.2 mm after operation;clearance distance of middle-range before operation was from 4.5 to 4.8 mm,and decreased from 1.9 to 2.2 mm after operation;clearance distance of posterior talar articular surface before operation was from 2.4 to 2.8 before operation,and decreased from 1.9 to 2.3 mm after operation. AOFAS score at 1 year after operation ranged from 77 to 94,and 1 got excellent result and 12 moderate.
Conclusion: The clinical efficacy of two cannulated screws with cross internal fixation for sustentaculum tali fractures with articular surface is satisfactory,sustentaculum tali fracture could obtain good reduction,recover smooth of middle talar articular surface,and the function of feet were improved. |
| KEY WORDS Calcaneus Fractures Fracture fixation,internal |
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| 中文格式: | 李陶冶,瞿杭波,张贻春,雷文涛,何帮剑,童培建.空心钉内固定治疗累及中距关节面的载距突骨折[J].中国骨伤,2019,32(11):1048~1052 |
| 英文格式: | LI Tao-ye,QU Hang-bo,ZHANG Yi-chun,LEI Wen-tao,HE Bang-jian,TONG Pei-jian.Cannulated screw internal fixation for sustentaculum tali fractures with articular surface[J].zhongguo gu shang / China J Orthop Trauma ,2019,32(11):1048~1052 |
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