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手术治疗跟骨关节内骨折26例
Hits: 1876   Download times: 1254   Received:October 19, 2000  Revised:January 20, 2001  
作者Author单位UnitE-Mail
叶林根 YE Lin-gen 嘉善县第一人民医院,浙江嘉善314100 The 1st People's Hospital of Jiashan,Zhejiang Jiashan,314100  
汪伟 WANG Wei 嘉善县第一人民医院,浙江嘉善314100 The 1st People's Hospital of Jiashan,Zhejiang Jiashan,314100  
朱彤 ZHU Tong 嘉善县第一人民医院,浙江嘉善314100 The 1st People's Hospital of Jiashan,Zhejiang Jiashan,314100  
费自威 嘉善县第一人民医院,浙江嘉善314100 The 1st People's Hospital of Jiashan,Zhejiang Jiashan,314100  
俞光荣 同济大学附属同济医院  
期刊信息:《中国骨伤》2001年14卷,第12期,第722-723页
DOI:doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz


目的:探讨跟骨关节内骨折行手术治疗的可行性。

方法:自1998年6月~2001年3月,对26例跟骨关节内骨折病人行切开复位内固定,其中5例行重建钢板加松质骨螺钉内固定,21例行可塑性钢板内固定。

结果:26例手术均获成功,与术前相比跟骨关节面、Bohler角、Gissane角、跟骨的高度、长度及宽度均达到或接近正常,内固定牢固,术后不用外固定,无明显并发症。经6~33个月(平均14.5个月)随访,按Maryland法评定,优16例,良7例,可3例。

结论:对于涉及关节面的跟骨骨折进行手术治疗,以达到牢固的内固定,并尽可能恢复其正常的解剖位置,是治疗跟骨关节内骨折的有效方法。
[关键词]:跟骨  关节  骨折固定术,内
 
Surgical treatment of intra-articular calcaneal fractures,a report of 26 cases
Abstract:

Objective:To investigate the surgical treatment of intra-articular fracture of the calcaneus

Methods: 26 cases of intra-articular calcaneal fractures were treated with open reduction and internal fixation from June 1998 to March 2001.Among them 5 cases were treated with reconstruction plate and cancellous screw fixation and 21 cases with plastic titanic alloy plate.

Results:All had successful results and the articular surface,B*ihlers angle,Gissanes angle,height,length and width of the calcaneus were restored almost to the normal standards after operation.The mean period of follow-up was 14.5 months (from 6 to 33 months).According to the Marylands standard,16 cases had excellent results,7 good and 3 fair.

Conclusion: The surgical treatment of intra-articular calcaneal fractures with open reduction and internal fixation successfully achieved rigid fixation and normal anatomic position;it is an effective method.
KEYWORDS:Calcaneus Joints Fracture fixation  internal
 
引用本文,请按以下格式著录参考文献:
中文格式:叶林根,汪伟,朱彤,费自威,俞光荣.手术治疗跟骨关节内骨折26例[J].中国骨伤,2001,14(12):722~723
英文格式:YE Lin-gen,WANG Wei,ZHU Tong.Surgical treatment of intra-articular calcaneal fractures,a report of 26 cases[J].zhongguo gu shang / China J Orthop Trauma ,2001,14(12):722~723
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