锁定钢板治疗跟骨SandersⅢ、Ⅳ型关节内骨折  

Treatment of Sanders typeⅢ、Ⅳ calcaneal fractures with locking plate

作　　者：贾金生[1] 范步新[1] 吴鹏[1] 刘长松[1] 刘书茂[1] 

机构地区：[1]首都医科大学大兴医院骨科,北京102600

出　　处：《生物骨科材料与临床研究》2013年第2期45-47,共3页Orthopaedic Biomechanics Materials and Clinical Study

摘　　要：目的探讨切开复位锁定钢板内固定治疗跟骨SandersⅢ、Ⅳ型骨折的方法和疗效。方法自2008年1月-2011年2月期间收治29例31足SandersⅢ、Ⅳ型跟骨关节内骨折，均采用切开复位锁定钢板内固定治疗，应用影像学检查及美国足踝骨科协会（AOFAS）后足评分系统进行结果评价。结果所有病例随访12～38个月，平均18．3个月。术前测量Boehler角0．7°±8．8°，Gissane角101．9°±6．4°，跟骨高度（丘部）28．7±5．3mm，跟骨宽度36．7±3．0mm，术后1年后测量Boehler角为28．9°±6．1°，Gissane角119．9°±4.3°，跟骨高度（丘部）40．3±3．5mm，跟骨宽度31．1±1．8mm，术前、术后对比各项差别均有统计学意义（p〈0．01）。按AOFAS评分系统评价术后足部功能，平均82．6分，优良率77．5％。结论对于跟骨SandersⅢ、Ⅳ型骨折采用切开复位锁定钢板内固定治疗能够取得良好疗效。Objective Investigate the methods and clinical outcome of Sanders typeⅢ、Ⅳ calcaneal fractures treated with locking plate. Methods From January 2008 to Feburary 2011, open reduction and internal fixation with calcaneal locking plate were performed in 31 cases of Sanders typeⅢ、Ⅳ calcaneal fracture, and the clinical outcome were retrospectively analysised. Results Pre-operation： Boehler angle was 0.7°±8.8°, Gissane angle was 101.9°±6.4°, and the calcaneous width was 36.7±3.0mm; post-opration： Boehler angle was 28.9°±6.1 °, Gissane angle was 119.90°±4.3°, calcaneous height was 28.7±5.3mm, and the calcaneous width was 31.1±1.8mm. Significant differences was found （P〈0.01）. According to the American Orthepaedic Foot and Ankle Society hindfoot score, the rate of excellent and good was 77.5%. Conclusions Relatively Satisfactory effect could be achieved with locking plate fixation in Sanders typeⅢ、Ⅳ calcaneal fractures.

关 键 词：跟骨骨折 Sanders分型 内固定 锁定钢板 

分 类 号：R687.3[医药卫生—骨科学]