摘要
目的探讨跟骨骨折的多枚螺纹克氏针竹排式成角固定方法及疗效。方法对14例(15足)SandersⅡ～Ⅳ型跟骨骨折患者采用微创撬拨复位、多枚螺纹克氏针竹排式成角固定;术后评定患足功能,测量手术前后X线片跟骨的长度、宽度、高度、Bhler角、Gissane角。结果 14例均获随访,时间3～14个月。功能评价按Maryland足部评分系统:优6足,良7足,可2足。术后跟骨高度、长度、宽度、Bhler角、Gissane角均接近正常,与术前比较差异有统计学意义(P<0.01)。结论微创复位、多枚螺纹克氏针竹排式成角固定法治疗跟骨骨折,创伤小,固定可靠,疗效满意。
Objective To investigate the operative method and the clinical effectiveness of using threaded Kirschner wire angular fixation for treatment of calcaneal fractures. Methods 14 cases（ 15 feet） calcaneal fractures in patients of Sander II - IV were treated by minimally invasive reduction and Kirschner wire angular internal fixation. Preoperative and postoperative Btihler angle, Gissane angle and calcaneus length, width, height were measured and the effects were evaluated according to Maryland foot score system. Results All cases were followed up from 3 to 14 months . The postoperative Maryland foot score was excellent in 6 sides, good in 7 sides, fair in 2 sides. The postoperative X- ray film showed that the BShler aggle, Gissane aggle and calcaneus length, width, height were significant differences （ P 〈 0. 01 ）. Conclusions The method of muhi-Kirschner internal fixation is less invasive, reliable fixation, and the clinical effects are satisfactory.
出处
《临床骨科杂志》
2012年第3期322-323,共2页
Journal of Clinical Orthopaedics
关键词
跟骨骨折
螺纹克氏针
竹排式
成角固定
calcaneal fracture
threaded Kirschner
raft type
angled internal fixation
