跟骨结节关节角测量在跟骨后关节面骨折手术治疗中的应用价值  

The value of the calcaneal tubercle joint angle measurement in the joint surface after calcaneal fractures

作　　者：杨杰[1] 戎耀宗 

机构地区：[1]阜阳市第五人民医院骨科,安徽省阜阳236037

出　　处：《中国基层医药》2016年第9期1393-1396,I0003,共5页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的探讨跟骨结节关节角测量在跟骨后关节面骨折手术治疗中的意义。方法对22例波及跟骨后关节面骨折患者,术前、术中、术后均测量跟骨结节关节角,术中切开复位钢板内固定治疗。采用Sanders分型术前、术中比较,术后再次测量跟骨结节关节角。按Maryland足部评分系统评价疗效。结果所有患者随访8-20个月。全组优良率90%,术后并发症：跟部增宽、距下关节炎2例,愈合不良2例（后清洁换药后延期愈合）。结论跟骨结节关节角测量在跟骨后关节面骨折手术治疗中有很好的指导意义。Objective To explore the surgical treatment of intra - articular calcaneal fractures with bonenodules joint angle in the preoperative and intraoperative evaluation of prognosis of postoperative analysis. Methods22 cases of affected joint surface after calcaneal fractures, open reduction and internal fixation with steel plate in theoperation treatment. Used Sanders classification： preoperative, intraoperative, postoperative again calcaneal tuberclejoint angle measurement. According to the Maryland foot scoring system to evaluate postoperative effect. Results Allpatients were followed up for 8 to 20 months. The excellent and good rate of the patients was 90%, the postoperativecomplications： heel broadening, subtalar arthritis in 2 cases, poor healing in 2 cases （ after the treatment and healing） .Conclusion It has high value of the calcaneal tubercle joint angle measurement in the joint surface after calcanealfractures.

关 键 词：骨折 跟骨 关节角 

分 类 号：R687.3[医药卫生—骨科学]