解剖型钛钢板治疗跟骨关节内骨折  

Treatment of calcaneal fracture with calcaneal anatomical titanium plate internal fixation

作　　者：王创利[1] 朱贤[1] 谷遐龄[1] 刘苏[1] 

机构地区：[1]江苏省张家港市第一人民医院,江苏张家港215600

出　　处：《海南医学》2006年第9期7-8,共2页Hainan Medical Journal

摘　　要：目的总结应用跟骨解剖型钛钢板治疗跟骨关节骨折的体会。方法回顾分析1999年8月到2004年12月治疗的24例(26个跟骨骨折),所有患者术前均行常规X线检查和CT检查。根据骨折粉碎情况和移位程度决定手术方法。本组病例均用跟骨解剖型钛钢板手术内固定治疗。结果24例(26个跟骨骨折),SandersⅡ型6例,SandersⅢ型14例,SandersⅣ型6例。术后切口感染、坏死4例,经治疗切口愈合。平均随访时间23个月,依据Maryland足评分标准,优8例,良12例,可6例,优良率77%。结论应用跟骨解剖型钛钢板治疗移位的跟骨骨折,可最大程度恢复跟骨的解剖形态,取得较好的临床治疗效果。Objective To evaluate clinical result of surgical treatment of intra-articular fracture of the calcaneus using calcaneal anatomical titanium plate. Methods From August of 1999 to December of 2004, 24 patients （26 calcaneus fractures） with calcaneal fracture were treated differently based on the result of X-my and CT scan performed before and after the treatment. Results 24 patients（26 calcaneus fractures）,according Sanders cIassi.fication system, there are 6 cases of type Ⅱ and 14 cases of type Ⅲ, and 6 cases of type Ⅳ. Infection of incision happened in 4 cases but healed after debridement and administration of antibiotics. The follow-up averaged 23 months. According to the classification of c.alcaneal fracture by the Maryland, excellent in 8, good in 12, fair 6. The overall excellent and good rate was 77%. Conclusions The internal fixation with the calcaneal anatomical titanium plate to treat intra-articular Lractures of the calcaneus can renew the calcaneal configuration and achieve preferable clinical effects.

关 键 词：跟骨骨折 骨折固定术 内 

分 类 号：R683.42[医药卫生—骨科学]