| 撬拨复位空心钉内固定治疗SandersⅡ型跟骨骨折 |
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投稿时间：2019-12-08
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| 作者 | Author | 单位 | Address | E-Mail |
| 黄平 |
HUANG Ping |
芜湖市中医医院, 安徽 芜湖 241000 |
Wuhu Traditional Chinese Medicine Hospital, Wuhu 241000, Anhui, China |
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| 陈先进 |
CHEN Xian-jin |
芜湖市中医医院, 安徽 芜湖 241000 |
Wuhu Traditional Chinese Medicine Hospital, Wuhu 241000, Anhui, China |
chenxianjin002@sina.com |
| 郭艳幸 |
GUO Yan-xing |
河南省洛阳正骨医院, 河南 洛阳 471000 |
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| 张道平 |
ZHANG Dao-ping |
芜湖市中医医院, 安徽 芜湖 241000 |
Wuhu Traditional Chinese Medicine Hospital, Wuhu 241000, Anhui, China |
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| 吴德林 |
WU De-lin |
芜湖市中医医院, 安徽 芜湖 241000 |
Wuhu Traditional Chinese Medicine Hospital, Wuhu 241000, Anhui, China |
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| 施磊 |
SHI Lei |
安徽中医药大学附属芜湖市中医医院专硕研究生培养基地, 安徽 芜湖 241000 |
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| 期刊信息：《中国骨伤》2020年，第33卷，第10期，第965-969页 |
| DOI：10.12200/j.issn.1003-0034.2020.10.015 |
| 基金项目: |
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中文摘要:
目的：探讨采用平乐正骨筋骨互用平衡论指导撬拨复位空心钉内固定治疗SandersⅡ型跟骨骨折的临床疗效。
方法：自2014年10月至2017年12月，采用平乐正骨筋骨互用平衡论指导撬拨复位空心钉内固定治疗SandersⅡ型跟骨骨折患者28例，均为单足，其中男20例，女8例；年龄24～55（37.2±3.9）岁。手术前后测量跟骨宽度、Böhler角、Gissane角的变化情况，术前及术后6个月采用Maryland足部评分对其功能进行评价。
结果：28例患者获得随访，时间12～16（13.7±1.3）个月。所有骨折获得愈合，愈合时间9～12（10.2±1.3）周，术后无切口感染、皮缘坏死及骨髓炎发生。跟骨宽度由术前的（34.15±2.58）mm降至术后的（30.49±2.37）mm（P<0.05），Böhler角由术前的（14.16±3.27）°增加至术后的（31.95±3.07）°（P<0.05），Gissane角由术前的（128.45±9.04）°降至术后的（120.83±8.15）°（P<0.05）。Maryland足部评分由术前的（15.68±4.73）分提高至术后6个月的（88.32±2.65）分，其中优19例，良6例，可2例，差1例。
结论：平乐正骨筋骨互用平衡论指导撬拨复位空心钉内固定治疗SandersⅡ型跟骨骨折临床疗效确切，患者接受程度高，且对骨折周围软组织条件无特殊要求。但须注意避免选择粉碎严重的Sanders Ⅲ、Ⅳ型跟骨骨折。 |
| 【关键词】跟骨 骨折 骨折闭合复位 骨折固定术 |
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| Poking reduction cannulated screw for the treatment of SandersⅡ calcaneal fracture |
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ABSTRACT
Objective: To evaluate clinical effect of poking reduction cannulated screw based on Pingle orthopedic muscle-bone interoperability balance theory in treating Sanders Ⅱ calcaneal fracture.
Methods: From October 2014 to December 2017,28 patients with Sanders Ⅱ calcaneal fracture were treated with poking reduction cannulated screw guided by Pingle orthopedic muscle-bone interoperability balance theory,including 20 males and 8 females,aged from 24 to 55 years old with an average of(37.2±3.9) years old. Calcaneal width,Böhler angle,and Gissane angle were measured before and after operation,and Maryland Score before and 6 months after operation were compared.
Results: All patients were followed up from 12 to 16 months with an average of (13.7±1.3) months. All fractures healed normally,and healing time ranged from 9 to 12 weeks with an average of (10.2±1.3) weeks. No postoperative wound infection,cortical necrosis,or osteomyelitis occurred. The width of the calcaneus decreased from (34.15±2.58) mm before surgery to (30.49±2.37) mm after surgery,Böhler angle increased from (14.16±3.27)° before operation to (31.95±3.07)°after operation,Gissane angle decreased from (128.45±9.04)° before operation to (120.83±8.15)° after operation. Maryland Score was 15.68±4.73 before operation,and was improved to 88.32±2.65 at 6 months after operation;19 patients got excellent result,6 good,2 fair and 1 poor.
Conclusion: Poking reduction cannulated screw based on Pingle orthopedic muscle-bone interoperability balance theory in treating Sanders Ⅱ calcaneal fracture has certain clinical effects,high acceptation of patient,and without special demand for soft tissue around fracture. But it should avoid choosing severe comminuted Sanders Ⅲ and Ⅳ calcaneal fracture. |
| KEY WORDS Calcaneus Fracture Closed fracture reduction Fracture fixation |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 黄平,陈先进,郭艳幸,张道平,吴德林,施磊.撬拨复位空心钉内固定治疗SandersⅡ型跟骨骨折[J].中国骨伤,2020,33(10):965~969 |
| 英文格式: | HUANG Ping,CHEN Xian-jin,GUO Yan-xing,ZHANG Dao-ping,WU De-lin,SHI Lei.Poking reduction cannulated screw for the treatment of SandersⅡ calcaneal fracture[J].zhongguo gu shang / China J Orthop Trauma ,2020,33(10):965~969 |
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