新型双向加压钉治疗跟骨骨折畸形愈合的护理  

The new bi- directional compression fracture malunion of calcaneal nail care

作　　者：郑慧琳[1] 余旭辉[1] 段清萍[1] 张弘[1] 饶绮 

机构地区：[1]广东省深圳市宝安区人民医院血液净化中心,深圳市518101

出　　处：《护理实践与研究》2015年第7期54-55,共2页Nursing Practice and Research

摘　　要：目的： 探讨新型双向加压钉治疗跟骨骨折畸形愈合的护理方法。方法：选择陈旧性跟骨骨折畸形愈合患者30例,采集患者症状、体征及 X 线摄片或 CT 检查的相关数据,根据畸形的类型、程度、临床表现,实施新型双向加压钉矫形手术治疗,在围术期进行系统的护理。结果：30例患者33足手术时间15~45 min,平均时间（28.3±6.7）min；术中失血16～52 ml。术后 X 线片及螺旋 CT 扫描复查,均显示跟骨外侧突出骨块及跟骨横径已恢复正常。所有患者均顺利出院,术后随访时间12~30个月,平均17.5个月。 X 线片显示跟骨高度、宽度、Bohler 角基本恢复正常。根据美国骨科足踝外科学会的踝后足评分标准评分,60～70分1例,71～80分5例,81～90分18例,91～100分6例。结论：对陈旧性跟骨骨折患者行新型双向加压钉治疗,在围术期进行精心的护理,可有效减少并发症,提高手术成功率。Objective：To explore the new bi - directional compression fracture malunion of calcaneal nail care. Methods：30 cases of calcaneal fracture mal-union cases,collecting patient symptoms,signs and X - ray or CT examination of the relevant data,according to the clinical types,degrees,deformity,the im-plementation of the new bi - directional compression nail for treatment of orthopedic operation,in the perioperative period nursing system. Results：30 cases of 33 foot operation time 15 - 45 min,average time was （28. 3 ± 6. 7）min;intraoperative blood loss was 16 - 52 ml. after X - ray and spiral CT scans showed prominent,lateral calcaneus bone block and calcaneal diameter has returned to normal. All patients were successfully discharged,postoperative follow - up, patients were followed up for 12 - 30 months,average 17. 5 months. X - ray showed the calcaneal height,width,the angle of Bohler returned to normal. Ac-cording to the Institute of USA Department of orthopedics of foot and ankle surgery ankle hindfoot score,60 to 70 points in 1 cases,71 - 80 in 5 cases,18 ca-ses of 81 - 90,91 - 100 in 6 cases. Conclusion：The old calcaneal fractures were treated with new bi - directional compression nail for the treatment, and carefully nursing in perioperative period,can effectively reduce the complications,improve the success rate of operation.

关 键 词：新型双向加压钉 跟骨骨折 畸形愈合 护理 

分 类 号：R473.6[医药卫生—护理学]