摘要
[目的]探讨应用微创撬拨复位加人工骨植入治疗跟骨骨折的临床疗效。[方法]1999年6月-2005年5月，收治住院60例70足波及跟距关节面的跟骨骨折，其中男38例（46足），女22例（24足），均为闭合性骨折。分为治疗组和对照组，每组30例35足。治疗组行微创撬拨加人工骨植入治疗，由骨折间隙进入行撬拨复位，植入1～2根条形人工骨，填补撬拨后的空腔，U型石膏中立位固定。对照组行撬拨复位骨圆针固定，U型石膏跖屈位固定。[结果]本研究60例均获得随访，随访9～60个月，平均随访时间20．7个月。2组方案疗效结果显示：在恢复跟骨Boehler’s角、Gissane’s角和Perle’s角方面，治疗组和对照组均有较好作用，而根据Maryland评分治疗组优于对照组（P〈0．01）：[结论]微创撬拨复位加人工骨植入治疗跟骨骨折操作简单、疗效确切，有临床推广价值。
[ Objective] To observe the clinical treatment of calcaneus fracture with poking reduction and artificial bone grafting technique. [ Method] From 1999.6 to 2005.5,60 cases with recent calcaneus fracture,including 46 feet in 38 males and 24 feet in 22 females with falling injure;aged from 20 to 65, were equally divided into two groups, including the observed group treated with poking reduction and artificial bone grafting and the control group with steel needle pry-poking reposition. [ Result] During followed up for 6-60 months, average 20.7months, it was notable different in Maryland foot score, and the same in Bchler＇, Gissane＇ and Perie＇ angle in X-ray in post-operation and pre-operative between observed group and the control. [ Conclusion] It showed us that the technique of poking reduction and artificial bone grafting was liable to operate and could provide exactly efficiency.
出处
《中国矫形外科杂志》
CAS
CSCD
北大核心
2008年第16期1224-1226,1230,共4页
Orthopedic Journal of China
关键词
跟骨骨折
撬拨复位
人工骨植入
calcaneus fracture
poking reduction
artificial bone grafting
