切开复位异形钢板内固定治疗跟骨骨折的临床疗效  

Plate fixation for calcaneus fractures and prevention of complications

作　　者：徐永旭[1] 

机构地区：[1]山东省郯城县第一人民医院,276100

出　　处：《中国实用医药》2011年第23期17-18,共2页China Practical Medicine

摘　　要：目的探讨切开复位异型钢板内固定治疗跟骨骨折的临床效果。方法本组患者17例21足,均行切开复位异形钢板内固定,自体髂骨移植11足,人工骨移植5足。分别于术后1、3、6个月和1年分别摄片观测骨愈合的情况和Bohler角恢复情况。根据AOFAS足踝功能评分标准,末次随访时评定足部功能。结果所有病例随访时间为12～33个月,平均21个月。评测足部功能,优13足,良5足,可3足,优良率达86%。早期并发症其中切口皮缘坏死3足,中期并发症距下关节创伤性关节炎2例。结论粉碎性跟骨骨折,选择适当的手术时机,采用全厚皮瓣,避免术中过分牵拉,术后充分引流并抬高患肢可有效减少并发症生。Objective To discuss the clinical outcome of internal fixation with plate for calcaneal fractures and prevention of complications.Methods Open reduction and internal fixation with plate combined with bone graft was performed on 17 cases（21 calcareus） with calcaneal fractures.Observed the restoration of Bohler＇s angle by radiography after 6 weeks and 1 year.All patients were followed up for an average of 21 month s（from 12 to 33 months）.Results The results were excellent in 13 cases,good in 5 cases and fair in 3 cases.The rate of excellent and good was 86%.The early postoperative complications were 3 cases necrosis of the skin incision margin,The later complication was posttraumatic osteoarthritis of posterior subtalar joint in 2 cases.Conclusion The main objective in treating calcaneal fractures is to restore mechanics of the calcaneus.The preoperative assessment of soft tissue injuries is also very important as well as complications reducing.

关 键 词：跟骨骨折 内固定 骨折并发症 

分 类 号：R687.3[医药卫生—骨科学]