| 切开复位内固定与植骨治疗跟骨关节内移位骨折 |
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Received:June 20, 2006
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| 作者 | Author | 单位 | Unit | E-Mail |
| 郑立槟 |
ZHENG Li-bin, |
宁德市闽东医院创伤骨科,福建福安355000 |
Mindong Hospital of Fujian,Fuan 355000,Fujian,China |
zhlibin2006@126.com |
| 王德烈 |
WANG De-lie |
福鼎市第二医院骨科 |
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| 林锦 |
LIN Jin |
宁德市闽东医院创伤骨科,福建福安355000 |
Mindong Hospital of Fujian,Fuan 355000,Fujian,China |
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| 王春 |
WANG Chun |
宁德市闽东医院创伤骨科,福建福安355000 |
Mindong Hospital of Fujian,Fuan 355000,Fujian,China |
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| 期刊信息：《中国骨伤》2007年20卷，第2期，第111-112页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
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目的:评估切开复位内固定及植骨治疗跟骨关节内移位骨折的临床效果。
方法:35例41足跟骨关节内移位骨折,其中男29例,女6例;年龄16-57岁,平均33.1岁;左足18例,右足11例,双足6例。X线片示:Bhler角0°-15°者19足,<0°者22足。按Sanders分类:Ⅱ型14足,Ⅲ型23足,Ⅳ型4足。并行切开复位普通跟骨接骨板内固定及植骨术。
结果:41足经平均18个月随访,按Maryland足部评分系统评估手术疗效,其中优(90-100分)31足,良(75-89分)7足,可(50-74分)2足,差(<50分)1足,优良率为92.7%(38/41)。
结论:跟骨关节内移位骨折行切开复位内固定术可取得良好临床疗效,植骨术有利于早期负重及避免距下关节面的塌陷。 |
| [关键词]:跟骨 骨折 骨折固定术,内 骨移植 |
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| Open reduction and internal fixation with bone grafting for treatment of calcaneal displaced intra-articular fracture |
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Abstract:
Objective: To evaluate the clinical effect of open reduction and internal fixation with bone grafting for treating calcaneal displaced intra-articular fracture.
Methods: Forty-one calcaneal displaced intra-articular fractures in 35 patients were included in this study.Among the patients,29 were male and 6 were female,and the average age was 33.1 years(16 to 57).The lesions of 18 cases were in left foot,11 in right foot,6 in both feet.The Bhler angle of 19 cases ranged 0° to 15°,22 less than 0°.Classification of calcaneus fracture was done according to Sanders′ computed tomographic classification system.There were 14 cases of type Ⅱfractures,23 type Ⅲ fractures and 4 type Ⅳ fractures.Open reduction and internal fixation with the ordinary blade plates for calcaneus and bone grafting were performed.
Results: Forty-one cases were followed up for an average of 18 months,and the clinical results were evaluated with the Maryland foot score.Thirty-one cases achieved excellent results,7 good,6 fair,1 failure,with the rate of excellent and good results being 92.7%(38/41).
Conclusion: Open reduction and internal fixation is an excellent operative method to treat the displaced intra-articular fracture of calcaneus,and the combination with bone grafting has the advantage of preventing subtalar joint collapse and early weight-bearing. |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 郑立槟,王德烈,林锦,王春.切开复位内固定与植骨治疗跟骨关节内移位骨折[J].中国骨伤,2007,20(2):111~112 |
| 英文格式: | ZHENG Li-bin,,WANG De-lie,LIN Jin,WANG Chun.Open reduction and internal fixation with bone grafting for treatment of calcaneal displaced intra-articular fracture[J].zhongguo gu shang / China J Orthop Trauma ,2007,20(2):111~112 |
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