| 跟骨骨折的可调式三角形外支架的研制和临床应用 |
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Received:April 17, 2009
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| 作者 | Author | 单位 | Unit | E-Mail |
| 周三保 |
ZHOU San-bao |
佛山市高明区中医院,广东 佛山 528500 |
The TCM Hospital of Gaoming District,Foshan 528500,Guangdong,China |
jialaoge@163.com |
| 王新杰 |
WANG Xin-jie |
佛山市高明区中医院,广东 佛山 528501 |
The TCM Hospital of Gaoming District,Foshan 528501,Guangdong,China |
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| 潘安男 |
PAN An-nan |
佛山市高明区中医院,广东 佛山 528502 |
The TCM Hospital of Gaoming District,Foshan 528502,Guangdong,China |
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| 陈辉 |
CHEN Hui |
佛山市高明区中医院,广东 佛山 528503 |
The TCM Hospital of Gaoming District,Foshan 528503,Guangdong,China |
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| 袁盛平 |
YUAN Sheng-ping |
佛山市高明区中医院,广东 佛山 528504 |
The TCM Hospital of Gaoming District,Foshan 528504,Guangdong,China |
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| 林望得 |
LIN Wang-de |
佛山市高明区中医院,广东 佛山 528505 |
The TCM Hospital of Gaoming District,Foshan 528505,Guangdong,China |
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| 期刊信息：《中国骨伤》2009年22卷，第12期，第892-894页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
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目的：设计用于跟骨骨折的可调式三角形外支架，并研究其临床应用效果。
方法：支架安装在3根横穿跟骨结节、胫骨下端、第1楔骨的克氏针的肢体两侧，通过调节支架的支撑杆长度使克氏针作用于跟骨结节，使跟骨的B?hler角和其前后径得到恢复，辅以手法复位，达到恢复跟骨形状的目的。自2003年4月至2008年4月临床治疗34例，男30例，女4例；年龄19～54岁，平均36.7岁；B?hler角-5°～15°，平均13.5°。其中Sander Ⅱ 型2例，Ⅲ型20例，Ⅳ型12例。
结果：34例均得到随访，时间3个月～4年，平均25个月。B?hler角恢复至30°～40°，平均32.5°。Maryland评分由术前平均(24.76±15.05)分提高至术后平均(83.26±16.81)分，按Maryland标准评定，优8例，良21例，可3例，差2例。
结论：用于跟骨骨折的可调式三角形外支架具有方法简便、复位好、再损伤小、并发症少的优点，纠正B?hler角和恢复跟骨前后径效果确实，是治疗跟骨骨折早期较为理想的方法。 |
| [关键词]:跟骨 骨折 外固定器 骨折愈合 |
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| Design and application of adjustable triangle external fixator for the treatment of calcaneal fractures |
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Abstract:
Objective: To design a kind of adjustable triangle external fixator,and to use it for treating calcaneal fractures.
Methods: The external fixator was installed into extremity near the both sides of three Kirschner wires crossing the calcaneal tubercle,the lower end of the tibia and the first cuneiform. The support rod length was adjusted to ensure the Kirschner wires affecting the calcaneal tubercle,so the B?hler angle and anteroposterior diameter of the calcaneus were recovered. From April in 2003 to April in 2008,the external fixators were used to treat 34 patients with calcaneal fractures,including 30 males and 4 females,ranging in age from 19 to 54 years,with an average of 36.7 years. The B?hler angles were -5 degree to 15 degree,with an average of 13.5 degrees. According to Sander's classification,2 patients were type Ⅱ，20 patients were type Ⅲ，and 12 patients were type Ⅳ。
Results: Thirty-four patients were followed up,and the duration ranged from 3 months to 4 years,averaged 25 months. The B?hler angle recovered to 30 degree to 40 degrees,with a mean of 32.5 degrees. The Maryland mean score improved from preoperative (24.76±15.05) to postoperative (83.26± 16.81). Based on Maryland criteria,8 patients got an excellent result,21 good,3 fair and 2 bad.
Conclusion: The adjustable triangle external fixator for treating calcaneal fractures has the following advantages:simple approach,good recovery,little reinjury and complications,effectiveness to recovery B?hler angle and anteroposterior diameter of calcaneal,which is an ideal method to treat calcaneal fractures. |
| KEYWORDS:Calcaneus Fractures External fixators Fracture healing |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 周三保,王新杰,潘安男,陈辉,袁盛平,林望得.跟骨骨折的可调式三角形外支架的研制和临床应用[J].中国骨伤,2009,22(12):892~894 |
| 英文格式: | ZHOU San-bao,WANG Xin-jie,PAN An-nan,CHEN Hui,YUAN Sheng-ping,LIN Wang-de.Design and application of adjustable triangle external fixator for the treatment of calcaneal fractures[J].zhongguo gu shang / China J Orthop Trauma ,2009,22(12):892~894 |
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