| 波及跟距关节的跟骨骨折的治疗 |
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Received:April 30, 2003
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| 期刊信息：《中国骨伤》2004年17卷，第4期，第209-211页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
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目的:探讨波及跟距关节跟骨骨折的优选治疗方法。
方法:对1992年1月-2002年9月收治的62例(66足)波及跟距关节的跟骨骨折分别采用石膏外固定法、手法复位石膏外固定法、撬拨复位石膏固定法进行治疗,并对其疗效进行评估。
结果:所有病例随访2个月～10年,EssexLoprestiⅠ型骨折单纯石膏固定法平均得分96.5,撬拨复位法平均得分98.5;Ⅱ型骨折手法复位+管型石膏固定法平均得分75.6,撬拨复位法平均得分91.8;Ⅲ型骨折手法复位+管型石膏固定法平均得分45.6,撬拨复位法平均得分70.3。
结论:Ⅰ、Ⅱ型骨折用撬拨复位可取得较满意效果,Ⅲ型骨折手术治疗为首选。 |
| [关键词]:跟骨 骨折 复位 骨折固定术 |
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| Treatment of calcaneus fracture affected with talocalcaneal joint |
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Abstract:
Objective: To investigate the better method for the treatment of calcaneus fracture affected with talocalcaneal joint.
Methods: From January 1992 to September 2002,62 cases fracture of calcaneus(66 calcaneal) affected with talocalcaneal joint were treated with different methods,of which clinical effect were evaluated.
Results: All the cases were followed up from 2 months to 10 years,fixation with simple gypsum got 96.5 scores and Essex-Lopresti reduction got 98 5 scores with an average in Essex-Lopresti fracture type Ⅰ;manipulative reduction and fixation with tubular gypsum got 75 6 scores and Essex-Lopresti reduction got 91.8 scores with an average in Essex-Lopresti fracture type Ⅱ; manipulative reduction and fixation with tubular gypsum got 45.6 scores and Essex-Lopresti reduction got 70.3 scores with an average in Essex-Lopresti fracture type Ⅲ.
Conclusion: In Essex-Lopresti fractures type Ⅰ and type Ⅱ Essex-Lopresti reduction can get satisfactory results,but surgical treatment is the first choice for Essex-Lopresti fractures type Ⅲ. |
| KEYWORDS:Calcaneus Fractures 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: | 侯喜君,林昂如,徐高峰.波及跟距关节的跟骨骨折的治疗[J].中国骨伤,2004,17(4):209~211 |
| 英文格式: | HOU Xi-jun,LIN Ang-ru,XU Gao-feng.Treatment of calcaneus fracture affected with talocalcaneal joint[J].zhongguo gu shang / China J Orthop Trauma ,2004,17(4):209~211 |
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