跟骨骨折手术并发症的临床分析  

Analysis of Operative Complications of Calcaneal Fractures

作　　者：施继飞[1] 黄建明[1] 李承[1] 何家文[1] 

机构地区：[1]上海市南汇区中心医院骨科,上海201300

出　　处：《实用骨科杂志》2007年第2期77-79,共3页Journal of Practical Orthopaedics

摘　　要：目的探讨手术治疗跟骨骨折手术并发症的形成和预防。方法回顾了2001年3月至2005年12月共165例173足的跟骨骨折手术病例,其中男性135例142足,女性30例31足。年龄21岁-80岁,平均37.5岁。伤后至手术时间3-18 d。手术取跟骨外侧入路,复位后用可塑形钛板置外侧壁固定,术中有43例行人工骨充填植骨。术后常规负压引流48-72 h并加压包扎。结果共发生手术并发症20例,占11.6%,其中7例切口缘浅表坏死,2例深部感染至慢性骨髓炎,1例腓骨长短肌腱断裂,5例腓肠神经损伤,5例复位丢失。结论正确把握手术时机、选择手术入路,规范操作、引流、植骨是减少跟骨骨折手术并发症的关键。Objective To analyze the formation and the prevention of operative complications of calcaneal fractures. Methods 173 calcaneal fractures of 165 patients were operated from Mar. 2001 to Dec. 2005. There were 142 calcaneal fractures of 135 males and 31 calcaneal fractures of 30 females. The average age .was 37.5 years（range 21- 80 years）. The time ranging from injury to operation were 3- 18 days. The operation was made at calcaneal lateral incision. All cases were fixed with plastic titanic alloy plates after reduction. Artificial bone was grafted in 43 cases. Postoperative routine unobstructed drainage of all cases was ranging from 48 to 72 hours, and with pressure dressing. Results 20 complications were recorded, the incidence was 11.6 %. Incision superficial necrosis in 7 cases; depth infection and chronic osteomyelitis in 2 cases ; fibular musculotendinous rupture in 1 cases ; sural nerves injury in 5 cases; reduction loss in 5 cases. Conclusion Correctly operative chance, operative incision, qualified operation, drainage and bone graft were the keys of the prevention of operative complications of calcaneal fractures.

关 键 词：跟骨骨折 手术 并发症 

分 类 号：R683.42[医药卫生—骨科学]