采用Sky骨扩张器经皮跟骨成形术治疗跟骨骨折  

Effect of SKy bone expander system by percutaneous osteoplasty in treatment calcaneal fracture

作　　者：陈海涛 杨朝华 梁群英 李启中 郭海欧 杜国聪 区杰雄 

机构地区：[1]高要市人民医院骨科,广东省高要526040

出　　处：《中国基层医药》2013年第14期2092-2094,共3页Chinese Journal of Primary Medicine and Pharmacy

基　　金：广东省肇庆市科技创新计划项目（2012E1211）

摘　　要：目的探讨采用Sky骨扩张器经皮跟骨成形术治疗跟骨骨折的临床疗效。方法该组55例63足跟骨骨折，受伤至手术时间6～16d。骨折按Sanders分类：Ⅱ型38足，Ⅲ型18足，Ⅳ型7足。采用Sky骨扩张器经皮跟骨成形术治疗跟骨骨折，手术标准是x线透视下应用Sky骨扩张器骨折复位满意与Bohler角和Gissane角满意。结果该组55例63足均得到随访，随访时间平均22个月。按疗效标准评定，优30足，良26足，可7足，无差病例，优良率88．9％。结论Sky骨扩张器经皮跟骨成形术治疗跟骨骨折，尤其适用于SandersⅡ型及SandersⅢ型跟骨骨折复位固定，并能恢复Bohler角和Gissane角，病程明显缩短，恢复快，疗效满意值得推广。Objective To explore the clinical effect of percutaneous osteoplasty with SKy bone expander sys- tem in the treatment of caleaneal fracture. Methods 63 feet of 55 patients with calcaneal fractures were involved in this study. According to Sanders fracture classification including 38 feet of Sanders IX, 18 feet of Sanders 111,7 feet of Sanders IV. There were 6 to 16 days interval between the injuries and the surgeries. The patients were treated by per- cutaneous osteoplasty with the SKy bone expander system. The standard of operation was the satisfaction of reduction and Bohler＇s and Gissane＇s angles under X-ray. Results All of 63 feet of 55 patients were followed up for average 22 months. According to the criterion of therapeutic effect, the results were as follows ： excellent in 30 cases, good in 26 cases, fair in 7cases, and no poor ease. The excellent and good rate was 88.9%. Conclusion Pereutaneous osteoplas- ty with SKy bone expander system in the treatment of calcaneal fracture, especially in reduction and fixation of Sanders type Ⅱ and Sanders type Ⅲ, can recover Bohler＇s and Gissane＇s angles, significantly shorten the duration of illness, and has fast recovery and can possess satisfactory curative effect, and it is worth popularizing.

关 键 词：跟骨 骨折固定术 SKY骨扩张器 

分 类 号：R687.3[医药卫生—骨科学]