| 外侧小切口空心螺钉内固定治疗关节面移位的跟骨骨折 |
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Received:February 25, 2010
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| 作者 | Author | 单位 | Unit | E-Mail |
| 周玉宽 |
ZHOU Yu-kuang |
五河县人民医院骨科,安徽 五河 233300 |
Department of Orthopaedics,the People's Hospital of Wuhe,Wuhe 233300,Anhui,China |
zxm20080806@yahoo.com.cn |
| 张彪 |
ZHANG Biao |
五河县人民医院骨科,安徽 五河 233300 |
Department of Orthopaedics,the People's Hospital of Wuhe,Wuhe 233300,Anhui,China |
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| 胡廷军 |
HU Ting-jun |
五河县人民医院骨科,安徽 五河 233300 |
Department of Orthopaedics,the People's Hospital of Wuhe,Wuhe 233300,Anhui,China |
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| 李孝福 |
LI Xiao-fu |
五河县人民医院骨科,安徽 五河 233300 |
Department of Orthopaedics,the People's Hospital of Wuhe,Wuhe 233300,Anhui,China |
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| 期刊信息：《中国骨伤》2010年23卷，第6期，第463-465页 |
| DOI：10.3969/j.issn.1003-0034.2010.05.023 |
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目的：观察外侧小切口复位内固定治疗关节面移位的跟骨骨折的疗效。
方法：自2006年1月至2009年9月30例(31足)关节面移位的跟骨骨折，其中男23例，女7例；年龄18～60岁，平均36.5岁。SandersⅡ型21足，Ⅲ型8足，Ⅳ型2足。采用腓骨尖至第4足跖骨基底的外侧直切口显露，复位后空心螺钉内固定。
结果：30例31足全部获得随访，时间3～24个月，平均14个月。31足术后无切口感染、皮肤坏死或切口愈合不良、腓肠神经损伤等软组织并发症。25足术后X线片示关节面复位良好、跟骨外形恢复满意，6足关节面、跟骨外形基本恢复正常。据Maryland评分标准，优6足，良20足，可5足。
结论：跟骨外侧微创小切口空心钉内固定对软组织损伤小，并发症少，关节面显露清晰，适用于SandersⅡ、Ⅲ型，是治疗关节面移位的跟骨骨折一种较好选择。 |
| [关键词]:跟骨 骨折 骨折固定术,内 外科手术,微创性 |
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| Lateral minimally invasive approach reduction and internal fixation with hollow screws for displaced intra-articular calcaneal fracture |
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Abstract:
Objective: To investigate the operative treatment of displaced intra-articular calcaneal fracture by lateral minimally invasive approach reduction and internal fixation.
Methods: During January 2006 to September 2009,30 cases(31 feet)of displaced intra-articular calcaneal fracture were treated by open reduction and hollow screws internal fixation through lateral minimally invasive approach from the fibular tip to the basement of the fourth metatarsal foot (SandersⅡ in 21 feet,Sanders Ⅲ in 8 feet,Sanders Ⅳ in 2 feet),including 23 males and 7 females with an average age of 36.5 years ranging from 18 to 60 years.
Results: The 31 feet of 30 patients were followed-up for from 3 to 24 months(14 months in average). There was no soft tissue complications such as infected incision,skin necrosis,poor wound healing,and sural nerve injury. X-ray films of 25 feet after the operations showed well reduction of articular surface and satisfactory shape on calcaneal；6 feet showed roughly normal shape. Based on the Maryland grading system,6 feet were excellent,20 feet good and 5 feet fair.
Conclusion: The lateral minimally invasive approach is a good option for calcaneal fracture of SandersⅡand Ⅲ,because of its less damages to soft tissue and fewer complications. It could also provide excellent exposure of articular surface. |
| KEYWORDS:Calcaneus Fractures Fracture fixation,internal Surgical procedures,minimally invasive |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 周玉宽,张彪,胡廷军,李孝福.外侧小切口空心螺钉内固定治疗关节面移位的跟骨骨折[J].中国骨伤,2010,23(6):463~465 |
| 英文格式: | ZHOU Yu-kuang,ZHANG Biao,HU Ting-jun,LI Xiao-fu.Lateral minimally invasive approach reduction and internal fixation with hollow screws for displaced intra-articular calcaneal fracture[J].zhongguo gu shang / China J Orthop Trauma ,2010,23(6):463~465 |
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