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手术治疗跟骨关节内移位骨折
Hits: 2086   Download times: 1391   Received:September 27, 2000    
作者Author单位UnitE-Mail
胡祖愉 HU Zu-yu 海盐县人民医院,浙江海盐314300 Peoples Hospital of Haiyan, Zhejiang Haiyan,314300  
周海平 ZHOU Hai-ping 海盐县人民医院,浙江海盐314300 Peoples Hospital of Haiyan, Zhejiang Haiyan,314300  
冯健 FENG Jian 海盐县人民医院,浙江海盐314300 Peoples Hospital of Haiyan, Zhejiang Haiyan,314300  
王文跃 海盐县人民医院,浙江海盐314300 Peoples Hospital of Haiyan, Zhejiang Haiyan,314300  
陈顺方 海盐县人民医院,浙江海盐314300 Peoples Hospital of Haiyan, Zhejiang Haiyan,314300  
朱海涛 海盐县人民医院,浙江海盐314300 Peoples Hospital of Haiyan, Zhejiang Haiyan,314300  
王俭 海盐县人民医院,浙江海盐314300 Peoples Hospital of Haiyan, Zhejiang Haiyan,314300  
期刊信息:《中国骨伤》2001年14卷,第12期,第724-726页
DOI:doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz


目的:应用切开复位内固定术治疗有移位的跟骨关节内骨折。

方法:手术治疗有移位的跟骨关节内骨折9例11足。其中按Sanders分类ⅡA型4足,ⅢAB型4足,ⅢAC型1足,均予切开复位内固定,Ⅳ型2足,予距下后关节融合。其中7足进行植骨。

结果:全部病例经16~37月(平均22月)随访,优7例,良3例,差1例。

结论:手术治疗跟骨关节内骨折,可以恢复跟骨关节面平整,跟骨宽度和高度,疗效肯定。CT检查可以明确骨折情况,指导手术。
[关键词]:跟骨  关节  骨折固定术,内
 
Treatment of displaced intra-articular fractures of calcaneum
Abstract:

Objective:To evaluate the results of treatment of the displaced intra-articular fractures of calcaneum by open reduction and internal fixation

Methods: 9 cases with 11 displaced intra-articular fractures of calcaneum were treated.There were 4 cases of ⅡA type,4 of ⅢAB,1 of ⅢAC according to the Sanders classification.2 cases of Ⅳ were treated with fusion of the posterior subtalar joint.

Results:All the patients were followed-up from 6 months to 3 years with a mean of 22 months.There were 7 excellent results,3 good and 1 poor.

Conclusion: Open reduction was able to reconstruct the facet of the subtalar joint,the height and width of normal calcaneus.The computed tomographic anatomy of fractures clearly demonstrated the fractured status of calcaneus and was of great help to open reduction of the fracture.
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:胡祖愉,周海平,冯健,王文跃,陈顺方,朱海涛,王俭.手术治疗跟骨关节内移位骨折[J].中国骨伤,2001,14(12):724~726
英文格式:HU Zu-yu,ZHOU Hai-ping,FENG Jian.Treatment of displaced intra-articular fractures of calcaneum[J].zhongguo gu shang / China J Orthop Trauma ,2001,14(12):724~726
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