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撬拨复位空心钉内固定治疗SandersⅡ型跟骨骨折
Hits: 2310   Download times: 807   Received:December 08, 2019    
作者Author单位UnitE-Mail
黄平 HUANG Ping 芜湖市中医医院, 安徽 芜湖 241000 Wuhu Traditional Chinese Medicine Hospital, Wuhu 241000, Anhui, China  
陈先进 CHEN Xian-jin 芜湖市中医医院, 安徽 芜湖 241000 Wuhu Traditional Chinese Medicine Hospital, Wuhu 241000, Anhui, China chenxianjin002@sina.com 
郭艳幸 GUO Yan-xing 河南省洛阳正骨医院, 河南 洛阳 471000  
张道平 ZHANG Dao-ping 芜湖市中医医院, 安徽 芜湖 241000 Wuhu Traditional Chinese Medicine Hospital, Wuhu 241000, Anhui, China  
吴德林 WU De-lin 芜湖市中医医院, 安徽 芜湖 241000 Wuhu Traditional Chinese Medicine Hospital, Wuhu 241000, Anhui, China  
施磊 SHI Lei 安徽中医药大学附属芜湖市中医医院专硕研究生培养基地, 安徽 芜湖 241000  
期刊信息:《中国骨伤》2020年33卷,第10期,第965-969页
DOI:10.12200/j.issn.1003-0034.2020.10.015


目的:探讨采用平乐正骨筋骨互用平衡论指导撬拨复位空心钉内固定治疗SandersⅡ型跟骨骨折的临床疗效。

方法:自2014年10月至2017年12月,采用平乐正骨筋骨互用平衡论指导撬拨复位空心钉内固定治疗SandersⅡ型跟骨骨折患者28例,均为单足,其中男20例,女8例;年龄24~55(37.2±3.9)岁。手术前后测量跟骨宽度、Böhler角、Gissane角的变化情况,术前及术后6个月采用Maryland足部评分对其功能进行评价。

结果:28例患者获得随访,时间12~16(13.7±1.3)个月。所有骨折获得愈合,愈合时间9~12(10.2±1.3)周,术后无切口感染、皮缘坏死及骨髓炎发生。跟骨宽度由术前的(34.15±2.58)mm降至术后的(30.49±2.37)mm(P<0.05),Böhler角由术前的(14.16±3.27)°增加至术后的(31.95±3.07)°(P<0.05),Gissane角由术前的(128.45±9.04)°降至术后的(120.83±8.15)°(P<0.05)。Maryland足部评分由术前的(15.68±4.73)分提高至术后6个月的(88.32±2.65)分,其中优19例,良6例,可2例,差1例。

结论:平乐正骨筋骨互用平衡论指导撬拨复位空心钉内固定治疗SandersⅡ型跟骨骨折临床疗效确切,患者接受程度高,且对骨折周围软组织条件无特殊要求。但须注意避免选择粉碎严重的Sanders Ⅲ、Ⅳ型跟骨骨折。
[关键词]:跟骨  骨折  骨折闭合复位  骨折固定术
 
Poking reduction cannulated screw for the treatment of SandersⅡ calcaneal fracture
Abstract:

Objective: To evaluate clinical effect of poking reduction cannulated screw based on Pingle orthopedic muscle-bone interoperability balance theory in treating Sanders Ⅱ calcaneal fracture.

Methods: From October 2014 to December 2017,28 patients with Sanders Ⅱ calcaneal fracture were treated with poking reduction cannulated screw guided by Pingle orthopedic muscle-bone interoperability balance theory,including 20 males and 8 females,aged from 24 to 55 years old with an average of(37.2±3.9) years old. Calcaneal width,Böhler angle,and Gissane angle were measured before and after operation,and Maryland Score before and 6 months after operation were compared.

Results: All patients were followed up from 12 to 16 months with an average of (13.7±1.3) months. All fractures healed normally,and healing time ranged from 9 to 12 weeks with an average of (10.2±1.3) weeks. No postoperative wound infection,cortical necrosis,or osteomyelitis occurred. The width of the calcaneus decreased from (34.15±2.58) mm before surgery to (30.49±2.37) mm after surgery,Böhler angle increased from (14.16±3.27)° before operation to (31.95±3.07)°after operation,Gissane angle decreased from (128.45±9.04)° before operation to (120.83±8.15)° after operation. Maryland Score was 15.68±4.73 before operation,and was improved to 88.32±2.65 at 6 months after operation;19 patients got excellent result,6 good,2 fair and 1 poor.

Conclusion: Poking reduction cannulated screw based on Pingle orthopedic muscle-bone interoperability balance theory in treating Sanders Ⅱ calcaneal fracture has certain clinical effects,high acceptation of patient,and without special demand for soft tissue around fracture. But it should avoid choosing severe comminuted Sanders Ⅲ and Ⅳ calcaneal fracture.
KEYWORDS:Calcaneus  Fracture  Closed fracture reduction  Fracture fixation
 
引用本文,请按以下格式著录参考文献:
中文格式:黄平,陈先进,郭艳幸,张道平,吴德林,施磊.撬拨复位空心钉内固定治疗SandersⅡ型跟骨骨折[J].中国骨伤,2020,33(10):965~969
英文格式:HUANG Ping,CHEN Xian-jin,GUO Yan-xing,ZHANG Dao-ping,WU De-lin,SHI Lei.Poking reduction cannulated screw for the treatment of SandersⅡ calcaneal fracture[J].zhongguo gu shang / China J Orthop Trauma ,2020,33(10):965~969
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