| 正骨手法联合经皮撬拨复位克氏针内固定治疗SandersⅡ-Ⅲ型跟骨骨折 |
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Received:June 03, 2024
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| 作者 | Author | 单位 | Unit | E-Mail |
| 戴锋 |
DAI Feng |
南京中医药大学苏州附属医院骨伤科, 江苏 苏州 215001 |
Department of Orthopaedics, Suzhou TCM Hospital Affiliated to Nanjing University of Traditional Chinese Medicine, Suzhou 215001, Jiangsu, China |
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| 刘锦涛 |
LIU Jin-tao |
南京中医药大学苏州附属医院骨伤科, 江苏 苏州 215001 |
Department of Orthopaedics, Suzhou TCM Hospital Affiliated to Nanjing University of Traditional Chinese Medicine, Suzhou 215001, Jiangsu, China |
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| 张志刚 |
ZHANG Zhi-gang |
南京中医药大学苏州附属医院骨伤科, 江苏 苏州 215001 |
Department of Orthopaedics, Suzhou TCM Hospital Affiliated to Nanjing University of Traditional Chinese Medicine, Suzhou 215001, Jiangsu, China |
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| 沈学强 |
SHEN Xue-qiang |
南京中医药大学苏州附属医院骨伤科, 江苏 苏州 215001 |
Department of Orthopaedics, Suzhou TCM Hospital Affiliated to Nanjing University of Traditional Chinese Medicine, Suzhou 215001, Jiangsu, China |
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| 吴黎明 |
WU Li-ming |
南京中医药大学苏州附属医院骨伤科, 江苏 苏州 215001 |
Department of Orthopaedics, Suzhou TCM Hospital Affiliated to Nanjing University of Traditional Chinese Medicine, Suzhou 215001, Jiangsu, China |
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| 俞鹏飞 |
YU Peng-fei |
南京中医药大学苏州附属医院骨伤科, 江苏 苏州 215001 |
Department of Orthopaedics, Suzhou TCM Hospital Affiliated to Nanjing University of Traditional Chinese Medicine, Suzhou 215001, Jiangsu, China |
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| 姜宏 |
JIANG Hong |
南京中医药大学苏州附属医院骨伤科, 江苏 苏州 215001 |
Department of Orthopaedics, Suzhou TCM Hospital Affiliated to Nanjing University of Traditional Chinese Medicine, Suzhou 215001, Jiangsu, China |
honghong751@126.com |
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| 期刊信息：《中国骨伤》2025年38卷，第3期，第306-310页 |
| DOI：10.12200/j.issn.1003-0034.20240227 |
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目的: 探讨正骨手法联合撬拨复位克氏针内固定治疗的SandersⅡ-Ⅲ型跟骨骨折的临床疗效。
方法: 回顾性分析2017年7月至2019年7月采用正骨手法联合撬拨复位克氏针内固定治疗的52例(足) SandersⅡ、Ⅲ型跟骨骨折患者的临床资料,男43例,女9例;年龄31~72(50.83±10.48)岁;Sanders Ⅱ型15例,Ⅲ型37例。比较术前和术后24个月Böhler角、Gissane角、跟骨宽度和跟骨高度的变化情况,并采用Maryland足部功能评分进行临床疗效评价。
结果: 所有患者获得随访,时间24~60(41.50±9.86)个月。所有患者骨折正常愈合,愈合时间(11.00±0.95)周;Böhler角、Gissane角、跟骨宽度、跟骨高度分别由术前的(16.37±8.36)°、(96.27±9.62)°、(46.82±4.67) mm、(38.41±3.58) mm提高至术后24个月时的(31.48±8.24)°、(111.62±8.69)°、(42.06±4.83) mm、(44.21±3.82) mm,差异有统计学意义(P<0.01)。术后24个月Maryland评分为(93.04±8.83)分,其中优40例,良7例,可5例。
结论: 正骨手法联合撬拨复位克氏针内固定术治疗SandersⅡ、Ⅲ型跟骨骨折,可以明显改善跟骨的Böhler角、Gissane角、宽度和高度,疗效满意。 |
| [关键词]:跟骨骨折 正骨手法 经皮撬拨复位 骨折内固定 中西医结合 |
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| Orthopedic manipulation combined with percutaneous reduction and Kirschner wire internal fixation for Sanders typeⅡ and Ⅲ calcaneal fractures |
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Abstract:
Objective To explore clinical effects of bone setting manipulation combined with pry reduction and Kirschner needle internal fixation in treating SandersⅡ-Ⅲ calcaneal fracture.
Methods Clinical data of 52 patients with types Sanders Ⅱand Ⅲ calcaneal fracture (foot) treated with bone-setting manipulation combined with pry reduction and Kirscher needle internal fixation from July 2017 to July 2019 were retrospectively analyzed,including 43 males and 9 females,aged from 31 to 72 years old with an average of (50.83±10.48) years old; 15 patients with Sanders typeⅡ and 37 patients with Sanders type Ⅲ. The changes of Böhler angle,Gissane angle,calcaneus width and calcaneus height before operation and 24 months after operation were compared,and Maryland foot function score was performed to evaluate clinical effects.
Results All patients were followed up from 24 to 60 months with an average of (41.50±9.86)months. The fracture healed normally and the healing time was (11.00±0.95) weeks. Böhler angle,Gissane angle,calcaneal bone width and calcaneal bone height were increased from (16.37±8.36)°,(96.27±9.62)°,(46.82±4.67) mm,(38.41±3.58) mm before operation to (31.48±8.24)°,(111.62±8.69)°,(42.06±4.83) mm,(44.21±3.82) mm at 24 months after operation,and the difference were statistically significant (P<0.01). Postoperative Maryland score at 24 months was (93.04±8.83),40 patients got excellent result,7 good and 5 fair.
Conclusion Orthopedic manipulation combined with percutaneous reduction and Kirschner wire internal fixation could significantly improve Böhler angle,Gissane angle,width,and height of Sanders typeⅡ and Ⅲ calcaneal fractures,and the curative effect is satisfactory. |
| KEYWORDS:Calcaneal fracture Orthopedic manipulation Percutaneous reduction Fracture internal fixation Integrative medicine |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 戴锋,刘锦涛,张志刚,沈学强,吴黎明,俞鹏飞,姜宏.正骨手法联合经皮撬拨复位克氏针内固定治疗SandersⅡ-Ⅲ型跟骨骨折[J].中国骨伤,2025,38(3):306~310 |
| 英文格式: | DAI Feng,LIU Jin-tao,ZHANG Zhi-gang,SHEN Xue-qiang,WU Li-ming,YU Peng-fei,JIANG Hong.Orthopedic manipulation combined with percutaneous reduction and Kirschner wire internal fixation for Sanders typeⅡ and Ⅲ calcaneal fractures[J].zhongguo gu shang / China J Orthop Trauma ,2025,38(3):306~310 |
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