经皮微创空心螺钉内固定治疗跟骨骨折  

The treatment of calcaneal fractures with percutaneous cannulated screw fixation

作　　者：赵磊[1] 王黎明[1] 王钢锐[1] 徐杰[1] 蒋纯志[1] 桂鉴超[1] 

机构地区：[1]南京医科大学附属南京第一医院骨科,江苏南京210006

出　　处：《临床骨科杂志》2009年第3期298-299,共2页Journal of Clinical Orthopaedics

摘　　要：目的探讨经皮微创空心螺钉内固定治疗跟骨骨折的疗效。方法在C臂X线机下对27例跟骨骨折行斯氏针撬拨复位经皮微创1～2枚φ4.5 mm空心螺钉内固定,术后辅以支具固定3～5周。结果患者均获随访,时间24～36(21±1.5)个月,根据M aryland评分系统进行功能评价:优17足,良7足,中2足,差1足。未发生切口感染及皮肤坏死等并发症。结论经皮微创空心螺钉内固定治疗跟骨骨折具有创伤微小,操作简单,方法可靠,骨折复位满意,固定牢靠等优点,可以有效防止严重后遗症的发生,是一种临床较实用的治疗方法。Objective To sum up the resuhs of the treatment of calcaneal fractures with percutaneous cannulated screw. Methods The 27 cases of calcaneal fractures were operated with percutaneous eannulated screw fixation and orthopaedic frame immobilization for 3 - 5 weeks. Results All 27 cases were followed up for 2 - 3 years,average of 21 ± 1.5 months. According to Maryland＇s evaluation criterion,the operation results were excellent in 17 feet, good in 7, fair in 2, and poor in 1. No infection or necrosis of skin occurred. Conclusions Using minimally invasive and percutaneous cannulated screw is one of the best methods to treat the calcaneal fractures.

关 键 词：跟骨骨折 外科手术 微创性 空心螺钉 

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