| 经跗骨窦入路跟骨锁定钢板外固定治疗跟骨关节内骨折 |
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Received:April 11, 2013
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| 作者 | Author | 单位 | Unit | E-Mail |
| 黄晖 |
HUANG Hui |
广西壮族自治区民族医院骨科, 广西 南宁 530001 |
Department of Orthopaedics, Guangxi Nation Hospital, Nanning 530001, Guangxi, China |
157382143@qq.com |
| 庄小强 |
ZHUANG Xiao-qiang |
广西壮族自治区民族医院骨科, 广西 南宁 530001 |
Department of Orthopaedics, Guangxi Nation Hospital, Nanning 530001, Guangxi, China |
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| 白宇 |
BAI Yu |
广西壮族自治区民族医院骨科, 广西 南宁 530001 |
Department of Orthopaedics, Guangxi Nation Hospital, Nanning 530001, Guangxi, China |
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| 陆生林 |
LU Sheng-lin |
广西壮族自治区民族医院骨科, 广西 南宁 530001 |
Department of Orthopaedics, Guangxi Nation Hospital, Nanning 530001, Guangxi, China |
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| 方旭 |
FANG Xu |
广西壮族自治区民族医院骨科, 广西 南宁 530001 |
Department of Orthopaedics, Guangxi Nation Hospital, Nanning 530001, Guangxi, China |
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| 期刊信息：《中国骨伤》2013年26卷，第11期，第893-896页 |
| DOI：10.3969/j.issn.1003-0034.2013.11.003 |
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目的：探讨经跗骨窦入路、跟骨锁定钢板外固定治疗跟骨关节内骨折临床疗效。
方法：自2011年7月至2012年8月，采用经跗骨窦入路小切口切开复位、跟骨锁定钢板置于皮外固定治疗跟骨关节内骨折12例（13足），其中男10例，女2例；年龄25～48岁，平均35岁。骨折根据Sanders 分型：Ⅱ型7足，Ⅲ型6足。比较手术前后跟骨Böhler角、Gissane角，并按照Maryland足部评分系统对疗效进行评价。
结果：12例均获得随访，时间6～14个月，平均10个月。术后无切口皮肤并发症；骨折愈合时间3～6个月，平均4个月。Böhler角由术前（11.19±5.69）°提高至术后（30.13±7.52）°；Gissane角由术前（108.31±10.35）°提高至术后（118.99±8.94）°。按照Maryland足部评分系统：优8足，良3足，可2足。
结论：经跗骨窦入路、跟骨锁定钢板外固定治疗跟骨关节内骨折，复位效果确切，固定牢固，可早期手术，手术损伤小，并发症少，是治疗SandersⅡ、Ⅲ型跟骨关节内骨折的一种有效方法。 |
| [关键词]:跟骨 骨折 骨折固定术 外固定器 |
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| Treatment of intra-articular calcaneal fractures by minimally invasive through the sinus tarsi approach and external fixation with calcaneal locking plates |
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Abstract:
Objective: To investigate the clinical results and the superiority of minimally invasive sinus tarsi approach and external fixation with calcaneal locking plates for the treatment of the intra-articular calcaneal fracture.
Methods: From July 2011 to August 2012,12 cases (13 feet) were treated by sinus tarsi approach and external fixation with calcaneal locking plates. There were 10 males and 2 females,aged from 25 to 48 years old (means 35 years old). According to Sanders classification system,there were 7 feet with type Ⅱ,6 feet with type Ⅲ. The Böhler angle and Gissane angle were compared before and after operation. The clinical results were evaluated with the Maryland foot score system.
Results: All 12 cases were followed up from 6 to 14 months(means 10 months). There were no incision complications. Fracture healing time was from 3 to 6 months (means 4 months). The Böhler angle increased from preoperative (11.19±5.69)° to postoperative (30.13±7.52)°; The Gissane angle increased from preoperative (108.31±10.35)° to postoperative (118.99±8.94)°. According to Maryland foot score system,8 feet got an excellent result,3 good,2 fair.
Conclusion: Open reduction by sinus tarsi approach and external fixation with calcaneal locking plates is an effective method for treatment of Sanders Ⅱ,Ⅲ calcaneal fracture. It can obtain good reduction and stable fixation with minimal invasion and lower complications. |
| KEYWORDS:Calcaneus Fractures Fracture fixation External fixators |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 黄晖,庄小强,白宇,陆生林,方旭.经跗骨窦入路跟骨锁定钢板外固定治疗跟骨关节内骨折[J].中国骨伤,2013,26(11):893~896 |
| 英文格式: | HUANG Hui,ZHUANG Xiao-qiang,BAI Yu,LU Sheng-lin,FANG Xu.Treatment of intra-articular calcaneal fractures by minimally invasive through the sinus tarsi approach and external fixation with calcaneal locking plates[J].zhongguo gu shang / China J Orthop Trauma ,2013,26(11):893~896 |
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