跟骨骨折切开复位内固定术后并发症原因探讨  

Analysis on the complications after open reduction and internal fixation of calcaneal fractures

作　　者：袁志根[1] 蒋国安[1] 付三清[1] 谭赞[1] 艾缘[1] 米雷[1] 

机构地区：[1]湖南省第二人民医院创伤骨科,湖南长沙410007

出　　处：《海南医学》2012年第6期50-52,共3页Hainan Medical Journal

摘　　要：目的探讨跟骨骨折切开复位内固定术后并发症发生的原因。方法回顾分析2007年1月至2009年6月行切开复位解剖钢板内固定的42例跟骨骨折患者的临床资料。结果术后发生明确的并发症15足，所有病例随访12-26个月，平均21．5个月。采用Maryland足部评分标准评价手术效果：优30足，良8足，可3足，差5足，优良率为82．6％。结论术前仔细清洗患足及应用抗真菌药物、足跟部肿胀消除后再手术、术中跟骨解剖复位、必要时植骨和缝皮时分层缝合等均可降低术后并发症风险。Objective To explore the causes of the complications after open reduction and internal fixation of calcaneal fracture. Methods From January 2007 to June 2009, 42 patients with fractured calcaneus received open reduction and internal fixation were enrolled in this study. Results Complications were found in 15 cases. All the patients were followed up for 12-26 months （an average of 21.5 months）. The clinical results were evaluated according to Maryland Foot Score. The results is excellent in 30 calcaneus, good in 8 calcaneus, fair in 3 calcaneus, and bad in 5 calcaneus. The excellent and good rate was 82.6%. Conclusion Measures to decrease postoperative complications include： clean the feet carefully and take antimycotic drug before operation, operate after the detumescence of feet, perform precise reduction of calcaneal fracture and bone grafting if necessarily.

关 键 词：跟骨 骨折 内固定术 并发症 

分 类 号：R683.42[医药卫生—骨科学]