摘要
目的探讨后关节面移位的跟骨骨折手术治疗的相关问题。方法2003年1月～2006年1月，26例33足后关节面移位的跟骨骨折，经可延长的外侧“L”形入路行切开复位异形钢板内固定治疗。Essex—Lopresti分类：舌形骨折18足，关节压缩骨折15足；Sanders分类：Ⅱ型骨折21足，Ⅲ型骨折12足。13例合并身体其他部位骨折。骨折后平均8．3d（4～15d）接受手术。结果所有患者获得8～44个月（平均24．3个月）随访，切口均愈合良好，无皮瓣坏死及局部感染，骨折复位满意。按Maryland足部评分标准评价手术效果：优18足，良10足，中4足，差1足，优良率84．8％。结论经跟骨外侧“L”形入路的切开复位内固定技术是一种值得信赖的治疗移位跟骨骨折的方法。
Objective To discuss surgical treatment of displaced intra-articular calcaneal fractures. Methods Between January 2003 and January 2006, 33 sides of displaced intra-articular calcaneal fractures in 26 patients were treated with open reduction and internal fixation through a L-shaped lateral approach. There were 18 fractures of Essex-Lopresti tongue type and 15 of Essex-Lopresti joint-depression type. According to Sanders classification system, 21 sides were of type Ⅱ, 12 were of type Ⅲ. Combined fractures were observed in 13 of the 26 patients. Surgery was performed in a mean time of 8.3 days （4 to 15 days） after trauma. Results All the patients were followed up for 8 to 44 months. There were no incision complications, such as wound necrosis and infection. The results were excellent in 18, good in 10, fair in 4, and poor in 1 according to Maryland Foot Score system. The excellent and good rate was 84.8%. Conclusion Open reduction and internal fixation of displaced intra-articular calcaneal fractures through a L-shaped lateral approach is an available method.
出处
《中华创伤骨科杂志》
CAS
CSCD
2007年第11期1020-1022,共3页
Chinese Journal of Orthopaedic Trauma
关键词
跟骨
骨折
骨折固定术
内
钢板
Calcaneus
Fracture
Fracture fixation, internal
Plate
