跟骨骨折的临床解剖学观察及应用  

Study on clinical anatomy of calcaneal fractures and its applications

作　　者：校佰平[1] 李明[1] 王邦荣[1] 周龙[1] 俞怡辉[1] 王庆[1] 魏军渔[1] 

机构地区：[1]宁波市第六医院创伤骨科,浙江宁波315040

出　　处：《中国骨伤》2010年第11期814-816,共3页China Journal of Orthopaedics and Traumatology

摘　　要：目的:手术中观察分析跟骨骨折骨折块的状态,总结骨折移位的规律,指导手术中骨折复位及固定。方法:自2002年3月至2009年3月,共收治跟骨骨折572例,男427例,女145例;年龄17～73岁,平均37岁;为高处坠落及车祸等伤所致。记录资料较为详细完整的189例,从跟骨外侧入路观察骨折移位状态,并予以顺序复位固定。结果:189例中,术中发现最多的骨折位于跟骨后关节面部,即跟骨丘部,所有病例均涉及;其次位于Gissane角部134例(70.8%),此部使跟骨横行或斜行骨折;再次是跟骨结节部,骨折分上下两部分,118例(62.4%);较少的是跟骨远端骨折67例(35.8%)。结论:跟骨骨折有明显的规律,手术前及手术中对骨折进行详细分析评价,按照一定的程序对骨折进行复位及固定,是取得良好手术效果的保证。Objective：To observe and analyze the intraoperative state of calcaneal fractures,and summarize the law of displacement after calcaneal fractures,so as to guide fracture reduction and fixation. Methods：From March 2002 to March 2009, among 572 patients with calcaneal fractures,427 patients were male and 145 patients were female,ranging in age from 17 to 73 years,averaged 37 years. The patients were injured from falling or road accidents,and all the patients were closed fracture. The 189 patients with complete clinical data were treated with reduction and fixation through the lateral approach after observation of displacement type of the fractures. Results：Among 189 patients,the fractures were found at the lower part of the articular surface in all patients,which was hillock point of calcaneus;the fractures were found at the Gissans Corner in 134 patients,and the type include cross sectional fracture or oblique fracture;the fractures were found at calcaneal tubercle in 118 patients,and the fractures were divided into two parts from top to bottom;the fractures were found at the distal part of calcaneus only in 67 patients. Conclusion：Calcaneal fractures show clear law of dislocation. Preoperative and intra operative detailed analysis and evaluation,as well as reduction and fixation according to certain sequences can insure to get better operative effects.

关 键 词：跟骨 骨折 临床方案 骨折固定术 内 

分 类 号：R683.42[医药卫生—骨科学]