Essex-Lopresti Ⅱ型跟骨骨折锁定钢板经皮外固定与内固定效果比较  

Efficacy comparison between internal fixation and percutaneous external fixation in treatment of Essex-Lopresti Ⅱ calcaneal fractures with locking plate

作　　者：张军[1] 江红卫[1] 何伟[1] 刘永明[1] 

机构地区：[1]江苏大学附属医院骨三科,江苏镇江212001

出　　处：《中国现代医学杂志》2015年第8期63-66,共4页China Journal of Modern Medicine

摘　　要：目的比较锁定钢板经皮外固定与切开内固定治疗Essex-LoprestiⅡ型跟骨骨折的效果。方法2011年6月-2013年10月,共对49例Essex-LoprestiⅡ型跟骨骨折患者行手术治疗,内固定材料为锁定钢板。分为完全切开复位内固定组（内固定组）与闭合/有限切开复位经皮外固定组（外固定组）两组。随访6~9个月,平均7.8个月。比较两组手术时间、手术并发症、住院时间及手术前后Bohler’s角、Gissane’s角差异及Maryland评分差异。结果外固定组手术时间、住院时间及并发症明显减少。手术前后Bohler’s角和Gissane’s角改善程度及术后Maryland评分差异不大。结论经皮锁定钢板外固定是治疗Essex-LoprestiⅡ型跟骨骨折的一种安全、经济、有效的办法。[Objective] To compare the differences between internal fixation and percutaneous external fixation in treatment of Essex-Lopresti Ⅱ ealcaneal fractures with locking plate. [Methods] From June 2011 to October 2013, 49 cases of calcaneal fractures were operated with locking plate. They were divided to fully open reduction internal fixation group （group of internal fixation） and closed or limited open reduction percutaneous external fixation group （group of external fixation）. The follow-up lasted for 6 to 9 months, averaging 7.8 months. The differences in operating time, surgical complications, hospitalization time, Bohler＇s and Gissane＇s angles before and after surgery and Maryland scoring were compared. [Results] The operation time, hospital stay, and complications were significantly reduced in the group of external fixation. The improving level of Bohler＇s and Gissane＇s angles before and after operation and postoperative Maryland scoring had little difference. [Conclusion] Percutaneous external fixation with locking plate is a safe, economical and effective way in the treatment of calcaneal fractures.

关 键 词：跟骨骨折 锁定钢板 经皮外固定 

分 类 号：R687[医药卫生—骨科学] R683.42[医药卫生—外科学]