微创橇拨复位加空心拉力螺钉内固定治疗跟骨骨折的临床研究  

作　　者：李双平[1] 朱志艳[1] 

机构地区：[1]甘肃省平凉市华亭县人民医院骨科,甘肃744100

出　　处：《当代医学》2016年第9期62-63,共2页Contemporary Medicine

摘　　要：目的探讨微创斯氏针橇拔复位加空心拉力螺钉内固定治疗跟骨骨折的临床效果。方法按照随机数字表法将42例跟骨骨折患者随机分为研究组和对照组,研究组(n=21)采用微创斯氏针橇拔复位加空心拉力螺钉内固定术治疗,对照组(n=21)给予微创斯氏针橇拔复位加石膏外固定治疗,比较2组患者的临床疗效。结果治疗后,研究组的治疗优良率(85.71%)显著高于对照组(61.90%),差异具有统计学意义(χ2=4.09,P<0.05)。研究组的恢复程度显著优于对照组,差异具有统计学意义(P<0.05)。结论选择适当的手术时机,采用微创橇拨复位加空心拉力螺钉内固定术治疗跟骨骨折的临床效果佳,是治疗跟骨关节内骨折的有效方法。Objective To investigate the clinical effect of poking reduction with minimally invasive method and internal fixation with cannulated screws in the treatment of calcaneus fracture. Methods According to the random number table method, 42 cases of calcaneal fracture were randomly divided into study group and control group. Patients of the study group were treated with poking reduction with minimally invasive method and internal fixation with cannulated screws, while patients of the control group were treated with minimally invasive Steinmann pin skid pull reset and plaster external fixation for. Clinical efficacy of two groups was compared. Results After treatment, the excellent and good rate(85.71%) of the study group was significantly higher than the control group(61.90%), and had statistical significance(χ2=4.09, P<0.05). The degree of recovery of the study group was significantly better than the control group, and the difference had statistical significance(P <0.05). Conclusion We must select the appropriate time for operation. Using poking reduction with minimally invasive method and internal fixation with cannulated screws to treat calcaneus fracture was good. It was an effective method in the treatment of intra-articular calcaneal fractures.

关 键 词：可塑性跟骨钛板 植骨术 跟骨 骨折 

分 类 号：R687.3[医药卫生—骨科学]