可塑性钛钢板内固定治疗跟骨关节内骨折的疗效分析  

Analysis of the effect of plastic titanic plates internal fixation in the treatment of intra-articular calcaneusfracture

作　　者：叶小林[1] 王瑞[1] 

机构地区：[1]深圳市坪山新区人民医院骨科,广东省深圳518118

出　　处：《中国基层医药》2013年第18期2757-2759,共3页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的探讨可塑性钛钢板内固定治疗跟骨关节内骨折疗效及安全性。方法选取跟骨关节内骨折患者42例，采用跟骨外侧改良“L”形切口，矫正跟骨短缩和内、外翻畸形。斯氏针从跟骨结节骨折块的后下沿跟骨轴向钻入直达塌陷的后关节面下方，恢复Bohler角、Gissane角和跟骨长度、高度，将外侧骨折片复位。用可塑形重建钛板固定，X线透视检查骨折复位。结果本组42例患者，骨折愈合时间为（11．4±0．6）周。骨折对位对线良好，跟距关节面平整，跟骨Bohler、Gissane角均恢复至正常范围。Maryland评分优良率为90．5％。未发现手术原因引起的钢板断裂及螺钉断裂。结论内固定切开复位及可塑性钛钢板内固定治疗跟骨关节内骨折，疗效显著，安全性高，值得临床推广。Objective To explore the efficacy and safety of plastic titanic plates internal fixation in the treat- ment of intra-articular calcaneus fracture. Methods 42 patients with intra-articular calcaneus fracture were selected and taken lateral ealcaneal improvement ＂L＂ shaped incision for the correction of calcaneal shortening and valgus de- formity. Skidmore needle went through collapse of the articular surface below from calcaneal fractures after block ned- ules along with bone shaft, and restored Bohler angle, Gissane angle and bone length, height, and the lateral fracture piece was reset. The fixation was taken by plastic reconstruction titanic plates, and the fracture was inspected by X- ray. Results In 42 patients, the fracture healing time was （ 11.4± 0.6） weeks. The fracture position was good on theline, and the articular surface of calcaneus and talus was smooth, and the Bohler angle, Gissane angle of calcaneus were returned to normal. The excellent rate was 90.5% by Maryland score. No surgical causes of broken plate and screw breakage were found. Conclusion Internal fixation with open reduction and plastic titanic plates internal fixation for the treatment of intra-articular calcaneal fractures has a significant effect and safety,which is worthy of promotion.

关 键 词：跟骨 骨折 内固定器 

分 类 号：R687.3[医药卫生—骨科学]