摘要
目的:观察钛板内固定复合自体骨填充治疗跟骨粉碎性骨折的效果。方法:58例跟骨粉碎性骨折患者,男45例,女13例,年龄21～62岁。取跟骨外侧弧形切口,整复塌陷碎裂骨块,恢复跟距关节与跟骨外形,以钛板固定,跟骨缺损腔隙以自体髂骨填充,术后石膏托固定。结果:术后随访6～12个月,骨折均愈合,X线射片显示达解剖复位者49例,功能复位者9例。术后功能恢复以张铁良等改良的足部评分系统评估,优者33例,良者20例,可者3例,差者2例。结论:跟骨粉碎性骨折钛板内固定复合自体髂骨植骨,固定可靠、并发症少、恢复快及手术费用低等优点,疗效较为满意。
Objective： To observe the effects of bone plate fixation and self-iliac bone grafting for the treatment of fractures of the calcaneus.Methods：Fifty-eight patients including 45 male and 13 female were reviewed, aged from 21 to 62 years. All the patients were treated by surgical method with bone plate fixation and self-iliac bone grafting after anatomiac reduction of talocalcaneal joint. Then, the ankle joint was kept in functional position with piaster slab. Results：All the patients were followed up from 6 months to 1 year. Zhang tie-liang foot scoring system was uesed in the patients, The excellent result was obtained in 33 patients, good in 20 and fair in 3. Conclusion： The treatment of intraarticular fractures of the calcaneus with bone plate fixation and self-iliac bone grafting has advantages of safety fixation, well reduction, less comphcations and lower treating money.
出处
《中国伤残医学》
2012年第12期7-9,共3页
Chinese Journal of Trauma and Disability Medicine
关键词
跟骨
骨折
粉碎性
骨折固定术
内
植骨
Calcaneus
Fractures
Fracture fixation, internal
Bone grafting
