| 跟骨关节内骨折不同内固定方式疗效比较 |
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Received:April 05, 2006
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| 作者 | Author | 单位 | Unit | E-Mail |
| 牛锋 |
NIU Feng, |
扬州市中医院骨科, 江苏扬州225009 |
Department of Orthopaedics,the Traditional Chinese Medicine Hospital of Yangzhou,Yangzhou 225009,Jiangsu,China |
niufeng19972005@126.com |
| 傅强 |
FU Qiang |
扬州市中医院骨科, 江苏扬州225009 |
Department of Orthopaedics,the Traditional Chinese Medicine Hospital of Yangzhou,Yangzhou 225009,Jiangsu,China |
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| 王明喜 |
WANG Ming-xi |
山东省中医院骨科 |
Department of Orthopaedics,the Traditional Chinese Medicine Hospital of Yangzhou,Yangzhou 225009,Jiangsu,China |
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| 期刊信息：《中国骨伤》2007年20卷，第2期，第77-79页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
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目的:总结跟骨关节内骨折的治疗经验,探讨切开复位内固定方式的选择及植骨方法。
方法:跟骨关节内骨折82例94足,男50例57足,女32例37足,其中双足跟骨骨折12例。根据CT采用Sanders分类法,SandersⅠ型8足,Ⅱ型34足,Ⅲ型36足,Ⅳ型16足。其中Ⅱ型:钢针固定组16足,其中植骨组9足,未植骨组7足;钢板固定组12足,其中植骨组8足,未植骨组4足;撬拨复位6足。Ⅲ型:钢针固定组12足,其中植骨组8足,未植骨组4足;钢板固定组17足,其中植骨组11足,未植骨组6足;撬拨复位7足。采用Maryland足部评分系统评分。
结果:随访时间1-28个月,平均11.5个月,SandersⅡ型与Ⅲ型切开复位内固定方式的治疗结果比较无统计学差异(P>0.05);植骨组和未植骨组的治疗结果比较有统计学差异(SandersⅡ型P<0.05,SandersⅢ型P<0.01)。
结论:SandersⅡ型与Ⅲ型跟骨骨折切开复位内固定时应尽量选用钢针内固定并应植骨,若跟骨碎成多块,可选用钢板固定。 |
| [关键词]:跟骨 骨折 骨折固定术,内 骨移植 |
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| Therapeutic effect comparison of different internal fixation on calcaneus intra-articular fractures |
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Abstract:
Objective:To conclude the experience of diagnosis and treatment of calcaneus fracture,discuss the necessity of the choice of the style of open reduction and internal fixtion,bone grafting.
Methods:Ninety-four calcaneal fractures in 82 cases included 57 calcaneus of 50 male and 37 calcaneus of 32 female,12 cases were both calcaneus fractures.According to Sanders classification,there were 8 calcaneal fractures of type Ⅰ,34 of type Ⅱ,36 of type Ⅲ and 16 of type Ⅳ.Among the 34 calcaneal freactures of type Ⅱ,16 were treated by Kirschner′s wires(bone grafting in 9 and without bone grafting in 7);12 were treated by plate(bone grafting in 8 and without bone grafting in 4);6 were treated percutaneous reduction by leverage.Among the 36 calcaneal freactures of type Ⅲ,12 were treated by Kirschner′s wires(grafting in 8 and without grafting in 4);17 were treated by plate(grafting in 11 and without grafting in 6);7 were treated percutaneous reduction by leverage.The joint function were evaluated according to Maryland foot score system before and after operation with or without bone grafting.
Results: All were followed up for 1 to 28 months,11.5 months on average.There was no difference between type Ⅱ and type Ⅲ fixed by plate or Kirschner′s wires in open reduction(P>0.05);there was a clear statistically significant superiority between with bone grafting and without bone grafting in type Ⅱ and type Ⅲ(Sanders Ⅱ P<0.05,Sanders Ⅲ P<0.01).
Conclusion:During open reduction and internal fixation patients of type Ⅱ and type Ⅲ fractures should be treated by Kirschner′s wires and bone grafting,fracture with melti-segment could be select. |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 牛锋,傅强,王明喜.跟骨关节内骨折不同内固定方式疗效比较[J].中国骨伤,2007,20(2):77~79 |
| 英文格式: | NIU Feng,,FU Qiang,WANG Ming-xi.Therapeutic effect comparison of different internal fixation on calcaneus intra-articular fractures[J].zhongguo gu shang / China J Orthop Trauma ,2007,20(2):77~79 |
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