| 跟骨骨折治疗研究进展 |
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Received:April 19, 2012
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| 期刊信息：《中国骨伤》2012年25卷，第11期，第962-966页 |
| DOI：10.3969/j.issn.1003-0034.2012.11.022 |
| 基金项目:北京中医药科技项目(编号：JJ2008-27) |
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| 跟骨骨折是常见的足部损伤,可选择非手术治疗、切开复位内固定、微创撬拨克氏针固定、关节融合术或外固定支架等多种治疗方法.切开复位内固定作为目前跟骨骨折治疗的主流术式,治疗跟骨关节内骨折疗效满意,尤其是SandersⅡ型和Ⅲ型骨折,但对于Ⅳ型骨折的治疗及是否植骨存在争议,其缺点是软组织并发症较高.跟骨骨折经皮微创撬拨复位内固定日益受到重视,但由于目前对跟骨骨折分类、撬拨复位适应证、固定方法、疗效评价标准等选择不一导致了临床疗效存在差异.跟骨骨折的治疗较为复杂,各种治疗方法均有其优点和不足,不能为追求解剖复位盲目扩大切开复位手术指征.根据患者损伤程度、骨折类型,合理选择适宜的治疗方案将有助于提高疗效. |
| [关键词]:跟骨 骨折 综述文献 |
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| Research progress in the treatment of calcaneal fractures |
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| Abstract:Calcaneal fracture is a kind of common injury of foot. Calcaneal fracture could be treated with conservative therapy,open reduction and internal fixation(ORIF),minimal invasive poking reduction and Kirschner wire fixation,arthrodesis or external fixation and other treatment methods. Open reduction and internal fixation as the main treatment method of calcaneus fracture,especially for intra-articular calcaneal fractures,as Sanders typeⅡ and Ⅲ fractures,could gain satisfactory effect. But whether bone grafting should be taken is controversial in Sanders type Ⅳ fractures,because soft tissue complications are disadvantages of ORIF. The treatment of minimally invasive percutaneous poking reduction and internal fixation for calcaneal fractures has been paid more and more attention. Because of the differ of the classification of calcaneal fractures,indications of poking reduction and fixation methods,efficacy evaluation standard of choose,the clinical efficacy is different. Because of the complex treatment process,various treatment methods have their own advantages and disadvantages. Through consulting relevant literatures of domestic and abroad in recent years,comprehensive analysis is made and new progress of the calcaneal fractures treatment is summarized. |
| KEYWORDS:Calcaneus Fractures Review literature |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 郑移兵,齐越峰.跟骨骨折治疗研究进展[J].中国骨伤,2012,25(11):962~966 |
| 英文格式: | ZHENG Yi-bing,QI Yue-feng.Research progress in the treatment of calcaneal fractures[J].zhongguo gu shang / China J Orthop Trauma ,2012,25(11):962~966 |
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