跟骨骨折的切开复位内固定与微创复位内固定治疗  

Open reduction and internal fixation versus minimally invasive reduction and internal fixation for calcaneal fracture

作　　者：殷潇凡[1] 张晓阳[1] 徐俊[1] 刘建兴[1] 刘江谊[1] 罗从风[2] 

机构地区：[1]上海交通大学瑞金医院集团闵行医院骨科,上海201100 [2]上海交通大学附属第六人民医院骨科,上海200233

出　　处：《临床骨科杂志》2007年第6期519-521,共3页Journal of Clinical Orthopaedics

摘　　要：目的探讨切开复位内固定及微创复位内固定治疗跟骨骨折的疗效。方法103例(103足)跟骨骨折患者分别以切开复位内固定及微创复位内固定进行治疗,根据术前、术后及随访的X线及CT影像,对手术效果进行比较。结果103足术后总体疗效优良率为79.61%。L型切口钢板内固定71足中,优9足,良47足,可13足,差2足,优良率为78.87%。外侧小切口空心钉内固定32足中,优5足,良21足,可6足,优良率为81.25%。结论外侧小切口入路治疗跟骨骨折,手术切口小,软组织损伤小,术后并发症较少。L形切口钢板内固定较牢靠,适用于关节面较为粉碎的跟骨骨折。Objective To investigate the effect of open reduction and internal fixation and minimally invasive reduction and internal fixation for calcaneal fracture. Methods 103 cases （ 103 feet） of calcaneal fractures were treated with open reduction and internal fixation and minimally invasive reduction and internal fixation. The effects were compared based on pre- and postoperative X-ray, CT films. Results The total excellent and good rate was 79. 61%. In the cases with ＂L＂ incision and plate fixation, the results were excellent in 9 feet, good in 47, fair in 13 and poor in 2, and the excellent and good rate was 78. 87%. In the cases with minimally invasive reduction and internal fixation with canulated screw,the results were excellent in 5 feet, good in 21 ,and fair in 6,and the excellent and good rate was 81.25%. Condusions Limited incision for calcaneal fracture requires small incision, less soft tissue damage and is associated less complication. ＂L＂ incision and plate fixation provides reliable fixation, which is indicated for calcaneal fracture with articular comminution.

关 键 词：跟骨骨折 骨折固定术  内 外科手术 微创性 

分 类 号：R683.42[医药卫生—骨科学] R687.32[医药卫生—外科学]