| 跟骨骨折经皮撬拨术后张力带夹板固定疗效观察 |
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Received:April 25, 2010
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| 作者 | Author | 单位 | Unit | E-Mail |
| 李引刚 |
LI Yin-gang |
陕西中医学院附属医院创伤骨科，陕西 咸阳 712083 |
Department of Trauma and Orthopaedics, ffiliated Hospital of Shaanxi TCM College, Xianyang 712083, Shaanxi, China |
liyingang9633@163.com |
| 刘艳平 |
LIU Yan-ping |
陕西中医学院附属医院创伤骨科，陕西 咸阳 712083 |
Department of Trauma and Orthopaedics, ffiliated Hospital of Shaanxi TCM College, Xianyang 712083, Shaanxi, China |
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| 孙崇秋 |
SUN Chong-qiu |
陕西中医学院附属医院创伤骨科，陕西 咸阳 712083 |
Department of Trauma and Orthopaedics, ffiliated Hospital of Shaanxi TCM College, Xianyang 712083, Shaanxi, China |
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| 李孟 |
LI Meng |
陕西中医学院附属医院创伤骨科，陕西 咸阳 712083 |
Department of Trauma and Orthopaedics, ffiliated Hospital of Shaanxi TCM College, Xianyang 712083, Shaanxi, China |
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| 杨宁 |
YANG Ning |
陕西中医学院附属医院创伤骨科，陕西 咸阳 712083 |
Department of Trauma and Orthopaedics, ffiliated Hospital of Shaanxi TCM College, Xianyang 712083, Shaanxi, China |
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| 期刊信息：《中国骨伤》2010年23卷，第11期，第821-824页 |
| DOI：10.3969/j.issn.1003-0034.2010.11.008 |
| 基金项目:陕西省自然科学基础研究计划项目(编号：2009JM4009) |
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目的：观察经皮撬拨张力带夹板固定治疗跟骨骨折的临床疗效。
方法：2007年9月至2009年2月，采用经皮撬拨复位方法治疗40例42足跟骨骨折，男28足，女14足；年龄18～55岁，平均34.2岁。病程2 h～7 d,均为新鲜闭合性跟骨关节内骨折。按术后固定方式分为两组，石膏固定组20足，张力带夹板固定组22足。术后参照美国足踝骨科协会足踝临床评分从跟骨宽度的恢复、功能康复、并发症3个方面进行比较分析。
结果：40例患者皆获随访，时间为6个月～2年，平均9个月。跟骨宽度恢复、功能恢复、对线情况，张力带夹板固定组均优于石膏固定组(P<0.05);疼痛情况两组差异无统计学意义(P>0.05).两种固定后期并发症发生，张力带夹板组明显低于石膏固定组(P<0.05).
结论：张力带夹板固定治疗跟骨骨折具有稳定跟骨宽度、并发症少等优点。 |
| [关键词]:跟骨 骨折 骨折固定术 临床对照试验 |
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| Clinical efftect of percutaneous poking and tension band splint fixation for treatment of the calcaneal fracture |
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Abstract:
Objective: To observe the clinical efficacy of percutaneous poking tension band splint fixation for the treatment of calcaneal fractures.
Methods: From September 2007 to February 2009,40 patients with calcaneal fractures(42 feet) were treated by percutaneous poking reduction,including 28 feet of male and 14 feet of female,with an average age of 34.2 years ranging from 18 to 55 years. The course was from 2 hours to 7 days. All fractures were fresh and closed intra-articular calcaneal fractures. Patients were divided into two groups according to fixation methods,plaster fixation in 20 feet,tension band splint in 22 feet. Three aspects including the heel of the foot and ankle width of recovery,functional recovery,complications were compared according to the United States Orthopedic Foot and Ankle Society clinical score.
Results: These 40 patients were followed-up for 6 months to 2 years with an average of 9 months. The calcaneal width of the recovery,the functional recovery and force line of tension band splint group were all better than that of plaster fixation group (P<0.05);There were no significant differences in pain between two groups(P>0.05). Occurrence of complications in tension band splint group were lower than that of plaster fixation group(P<0.05).
Conclusion: Percutaneous poking tension band splint have adevantage of stable calcaneal width and fewer complications on treatment of calcaneal fractures. |
| KEYWORDS:Calcaneus Fractures Fracture fixation Controlled clinical trials |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 李引刚,刘艳平,孙崇秋,李孟,杨宁.跟骨骨折经皮撬拨术后张力带夹板固定疗效观察[J].中国骨伤,2010,23(11):821~824 |
| 英文格式: | LI Yin-gang,LIU Yan-ping,SUN Chong-qiu,LI Meng,YANG Ning.Clinical efftect of percutaneous poking and tension band splint fixation for treatment of the calcaneal fracture[J].zhongguo gu shang / China J Orthop Trauma ,2010,23(11):821~824 |
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