微创橇拨复位加ICOS双重加压螺钉治疗跟骨骨折  

Reduction by leverage with minimally invasive and internal fixation with ideal compression screw to treat fracture of calcaneus

作　　者：张弓[1] 倪卫东[1] 高仕长[1] 梁安霖[1] 

机构地区：[1]重庆医科大学附属第一医院骨科,重庆400016

出　　处：《重庆医科大学学报》2009年第2期235-237,共3页Journal of Chongqing Medical University

摘　　要：目的:探讨斯氏针微创橇拨复位加ICOS双重加压螺钉(Ideal compression screw,ICOS)治疗跟骨骨折的疗效。方法:应用斯氏针橇拨复位加ICOS双重加压螺钉治疗跟骨骨折13例(17侧)。按Sanders骨折分型,Ⅱ型10侧,Ⅲ型7侧。结果:13例均获得随访,平均随访时间13.4个月。按美国骨科协会之足踝临床评分系统评价术后功能:优12侧(70.6%),良3侧(17.6%),可2侧(11.8%)。优良率88.2%。结论:采用斯氏针微创橇拨复位加ICOS双重加压螺钉治疗SandersⅡ、Ⅲ型跟骨骨折具有固定牢靠,并发症少,满意率高等优点,是一种治疗跟骨骨折的有效方法。Objective ：To evaluate the effect of reduction by leverage with minimally invasive and internal fixation with Ideal Compression Screw to treat fracture of calcaneus. Methods： 13 patients （ 17 feet）with fracture of calcaneus were treated by reduction by leverage with minimally invasive and internal fixation with Ideal Compression Screw. According to Sanders＇ classification, 10 sides were classified as type Ⅱ fracture and 7 sides as type Ⅲ fracture. Results： The post-operative functional evaluation by American Orthopaedic Foot and Ankle Society ankle score system revealed excellent outcomes in 12 feet（70.6% ）, good in 3（ 17.6% ）, fair in 2（ 11.8% ）. The excellent rate was 88.2%. Conclusion：Reduction by leverage with minimally invasive and internal fixation with Ideal Compression Screw to treat fracture of calcaneus is an effective and micro-invasive method in treatment of fractures of calcaneus. The technique can contribute to stable fixation, low operation complication and high rate of excellent to good outcomes, et at.

关 键 词：跟骨 骨折 固定术 内 骨螺钉 

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