| 经皮克氏针撬拨复位内固定治疗儿童跟骨关节内骨折的疗效分析 |
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Received:April 11, 2011
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| 作者 | Author | 单位 | Unit | E-Mail |
| 黄忠胜 |
HUANG Zhong-sheng |
温州医学院附属乐清医院骨科,浙江 温州 325600 |
Department of Orthopaedics,the Affiliated Yueqing Hospital of Wenzhou Medical College,Wenzhou 325600,Zhejiang,China |
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| 赵政 |
ZHAO Zhen |
温州医学院附属乐清医院骨科,浙江 温州 325600 |
Department of Orthopaedics,the Affiliated Yueqing Hospital of Wenzhou Medical College,Wenzhou 325600,Zhejiang,China |
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| 季滢瑶 |
JI Ying-yao |
温州医学院附属乐清医院骨科,浙江 温州 325600 |
Department of Orthopaedics,the Affiliated Yueqing Hospital of Wenzhou Medical College,Wenzhou 325600,Zhejiang,China |
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| 李科伦 |
LI Ke-lun |
温州医学院附属乐清医院骨科,浙江 温州 325600 |
Department of Orthopaedics,the Affiliated Yueqing Hospital of Wenzhou Medical College,Wenzhou 325600,Zhejiang,China |
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| 郑钜晗 |
ZHENG Ju-han |
温州医学院附属乐清医院骨科,浙江 温州 325600 |
Department of Orthopaedics,the Affiliated Yueqing Hospital of Wenzhou Medical College,Wenzhou 325600,Zhejiang,China |
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| 倪建光 |
NI Jian-guang |
温州医学院附属乐清医院骨科,浙江 温州 325600 |
Department of Orthopaedics,the Affiliated Yueqing Hospital of Wenzhou Medical College,Wenzhou 325600,Zhejiang,China |
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| 徐粲臻 |
XU Can-zhen |
温州医学院附属乐清医院骨科,浙江 温州 325600 |
Department of Orthopaedics,the Affiliated Yueqing Hospital of Wenzhou Medical College,Wenzhou 325600,Zhejiang,China |
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| 郑立程 |
ZHENG Li-cheng |
温州医学院附属乐清医院骨科,浙江 温州 325600 |
Department of Orthopaedics,the Affiliated Yueqing Hospital of Wenzhou Medical College,Wenzhou 325600,Zhejiang,China |
zlcheng007@gmail.com |
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| 期刊信息：《中国骨伤》2011年24卷，第10期，第834-837页 |
| DOI：10.3969/j.issn.1003-0034.2011.10.010 |
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目的: 介绍经皮克氏针撬拨复位内固定治疗儿童跟骨骨折,评估该方法的临床疗效。
方法: 2001年3月至2009年2月,采用经皮克氏针撬拨复位内固定治疗儿童跟骨关节内骨折12例(13足),其中男8例,女4例;年龄3～14岁,平均8.7岁。骨折按Essex-Lopresti分型：舌型骨折5足,压缩型骨折8足。按Sanders分型：Ⅱ型9足,Ⅲ型4足。手术前后摄X线片,比较跟骨Böhler角和Gissane角的恢复情况,疗效评价采用Maryland足部评分系统。
结果: 所有患者均获随访,时间16～71个月,平均35.9个月。骨折均获愈合,无创口愈合不良、坏死感染发生。术前Böhler角为(19.7±5.3)°,术后为(32.6±3.7)°;术前Gissane角为(137.3±7.5)°,术后为(125.4±2.9)°,上述影像学测量结果与术前比较差异均有统计学意义(P<0.01).Maryland评分92～100分,平均(96.3±2.4)分。
结论: 经皮克氏针撬拨复位内固定术,软组织损伤小、固定可靠、疗效满意,是儿童跟骨关节内骨折有效的微创治疗方法。 |
| [关键词]:跟骨 骨折 儿童 骨折固定术,内 |
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| Effective analysis of percutaneous reduction and Kirschner pin fixation for the treatment of intraarticular fractures of the calcaneus in children |
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Abstract:
Objective: To introduce and evaluate the clinical effects of percutaneous reduction and Kirschner pin fixation for the treatment of intraarticular fractures of the calcaneus in children.
Methods: From March 2001 to February 2009,12 patients with intraarticular calcaneal fractures were treated by percutaneous reduction and Kirschner pin fixation(13 feet).There were 8 males and 4 females,ranging in age from 3 to 14,with an average of 8.7 years.According to Essex-Lopresti classification,among 5 feet were tongue fractures and 8 feet were compressed fractures.According to Sanders classification,9 feet were typeⅡand 4 feet were typeⅢ。 The Böhler angle and Gissane angle of the calcaneus were obtained before and after operation.All patients were evaluated according to Maryland Foot Score.
Results: All the patients were followed up for 16-71 months (means 35.9 months),and all the incisions were healed without complications and infection.The preoperative X-ray film showed that Böhler angle was(19.7±5.3)°,Gissane angle was(137.3±7.5)°。 The postoperative X-ray film demonstrated that Böhler angle was (32.6±3.7)°,Gissane angle was (125.4±2.9)°。 There was a significant difference between preoperative and postoperative (P﹤0.01).The average Maryland score was 96.3±2.4 (range,92 to 100 points).
Conclusion: Percutaneous reduction and Kirschner pin fixation is an effective minimally invasive way to treat intraarticular fractures of the calcaneus in children,it has many advantages such as minimal invasion,reliable fixation and satisfactory effects. |
| KEYWORDS:Calcaneus Fractures Children Fracture fixation,internal |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 黄忠胜,赵政,季滢瑶,李科伦,郑钜晗,倪建光,徐粲臻,郑立程.经皮克氏针撬拨复位内固定治疗儿童跟骨关节内骨折的疗效分析[J].中国骨伤,2011,24(10):834~837 |
| 英文格式: | HUANG Zhong-sheng,ZHAO Zhen,JI Ying-yao,LI Ke-lun,ZHENG Ju-han,NI Jian-guang,XU Can-zhen,ZHENG Li-cheng.Effective analysis of percutaneous reduction and Kirschner pin fixation for the treatment of intraarticular fractures of the calcaneus in children[J].zhongguo gu shang / China J Orthop Trauma ,2011,24(10):834~837 |
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