| 双线锚钉内固定治疗撕脱性跟骨骨折 |
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Received:February 01, 2011
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| 作者 | Author | 单位 | Unit | E-Mail |
| 赵斌修 |
ZHAO Bin-xiu |
南京医科大学附属淮安第一医院骨科九病区，江苏 淮安 223300
西安交通大学第二医院骨科 |
The 9th District of Orthopaedics Department,the First Hospital of Huaian Affiliated to Nanjing University of Medicine,Huaian 223300,Jiangsu,China |
sdzbx@126.com |
| 王坤正 |
WANG Kun-zheng |
西安交通大学第二医院骨科 |
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| 王春生 |
WANG Chun-sheng |
西安交通大学第二医院骨科 |
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| 谢跃 |
XIE Yue |
南京医科大学附属淮安第一医院骨科九病区，江苏 淮安 223300 |
The 9th District of Orthopaedics Department,the First Hospital of Huaian Affiliated to Nanjing University of Medicine,Huaian 223300,Jiangsu,China |
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| 戴志唐 |
DAI Zhi-tang |
南京医科大学附属淮安第一医院骨科九病区，江苏 淮安 223300 |
The 9th District of Orthopaedics Department,the First Hospital of Huaian Affiliated to Nanjing University of Medicine,Huaian 223300,Jiangsu,China |
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| 刘刚 |
LIU Gang |
南京医科大学附属淮安第一医院骨科九病区，江苏 淮安 223300 |
The 9th District of Orthopaedics Department,the First Hospital of Huaian Affiliated to Nanjing University of Medicine,Huaian 223300,Jiangsu,China |
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| 刘卫东 |
LIU Wei-dong |
南京医科大学附属淮安第一医院骨科九病区，江苏 淮安 223300 |
The 9th District of Orthopaedics Department,the First Hospital of Huaian Affiliated to Nanjing University of Medicine,Huaian 223300,Jiangsu,China |
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| 期刊信息：《中国骨伤》2011年24卷，第6期，第527-528页 |
| DOI：10.3969/j.issn.1003-0034.2011.06.026 |
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目的：对于跟骨撕脱性骨折，当前较常用的方法是螺钉固定或克氏针固定骨折块，本文旨在探讨应用双线锚钉固定器治疗撕脱性跟骨骨折的可行性与临床疗效。
方法：自2007年7月至2010年11月共21例跟骨骨折患者，男15例，女6例；年龄49～65 岁，平均58.7岁；右跟骨结节12例，左跟骨结节9 例；均为闭合性骨折。术前典型症状：足跟后上部疼痛，提踵无力。查体：足跟后部可扪及骨擦感，患处肿胀、压痛明显。手术以TwinFix 双线锚钉固定：锚钉旋入跟骨主体，于骨折块上钻孔，双股缝线穿过孔隙后打结固定骨折块，剩余缝线缝合于跟腱以加强固定。采用美国足踝外科协会AOFAS 标准对跟腱功能恢复情况进行评估，包括疼痛、功能、力线3项指标。
结果：术后AOFAS总平均分(95.5±3.12)分，其中疼痛平均得分(38.5±2.18)分，功能平均得分(49.5±3.09)分，力线均为10分；优16例，良5例。
结论：应用双线锚钉治疗撕脱性跟骨骨折，手术简捷，疗效优良，值得推广。 |
| [关键词]:跟骨 骨折 骨折固定术 外科手术 |
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| Treatment of calcaneal avulsion fractures with TwinFix suture anchors fixation |
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Abstract:
Objective: For the calcaneal avulsion fracture,the current method is more commonly used screws or Kirschner wire to fix fracture fragment. This article intended to explore the feasibility and clinical efficacy for the treatment of avulsion fractures with TwinFix suture anchors.
Methods: From July 2007 to November 2010,21 patients were reviewed,including 15 males and 6 females,ranging in age from 49 to 65 years,with a mean of 58.7 years. Twelve patients had nodules in the right heel and 9 patients had nodules in the left heel. All the patients had closed fractures. The typical preoperative symptoms of the patients included pain in the upper heel and weak in heel lift. Body examination results:palpable sense of bone rubbing in the back of the heel,and swelling in the heel. Surgery treatment with TwinFix suture anchors performed as follows:to fix TwinFix suture anchors into the calcaneal body,then to drill the fracture block,to make the double strand suture through the fracture holes,to knot the suture eachother to fix the block,and to use stitch to fix the remaining suture in the Achilles tendon in order to improve the block fixation. The criteria of the AOFAS Foot and Ankle Surgery by the United States Association of ankle-rear foot functional recovery was used to evaluate the Achilles tendon.
Results: Total average score was (95.5±3.12) points,including pain items of(38.5±2.18) points,the average score of functional items of (49.5±3.09) points,and power lines of 10 points in all patients. Twenty-one patients got an excellent result,16 good and 5 poor.
Conclusion: The methods of treatment for the calcaneal avulsion fractures with TwinFix suture anchors is a simple operation,and have excellent clinical effect,which is worthy of promotion. |
| KEYWORDS:Calcaneus Fractures Fracture fixation Surgical procedures,operative |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 赵斌修,王坤正,王春生,谢跃,戴志唐,刘刚,刘卫东.双线锚钉内固定治疗撕脱性跟骨骨折[J].中国骨伤,2011,24(6):527~528 |
| 英文格式: | ZHAO Bin-xiu,WANG Kun-zheng,WANG Chun-sheng,XIE Yue,DAI Zhi-tang,LIU Gang,LIU Wei-dong.Treatment of calcaneal avulsion fractures with TwinFix suture anchors fixation[J].zhongguo gu shang / China J Orthop Trauma ,2011,24(6):527~528 |
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