经“八”字切口微创固定治疗跟骨关节内骨折  

Minimally invasive internal fixation of displaced intra-articular calcaneal fractures by “八” shape incision

作　　者：冯炜[1] 李俊杰[1] 俞立新[1] 

机构地区：[1]解放军第98医院全军创伤修复重建中心,浙江湖州313000

出　　处：《临床骨科杂志》2016年第4期485-486,共2页Journal of Clinical Orthopaedics

摘　　要：目的探讨经跟骨外侧＂八＂字切口、Y型解剖板微创固定治疗跟骨关节内骨折的疗效。方法对46例闭合跟骨关节内骨折采用跟骨外侧＂八＂字切口、Y型解剖板微创固定治疗。结果 46例均获得随访,时间12-30个月。患者骨折均愈合,无一例发生切口深部感染、皮肤坏死及骨髓炎等严重并发症。按AOFAS评分标准评价：优30足,良14足,可3足,差2足,优良率为89.8%。结论经跟骨外侧＂八＂字切口、Y型解剖板微创固定治疗跟骨关节内骨折,术中直视下复位跟骨后关节面,固定可靠,可早期活动。Objective To explore the effect of minimally invasive internal fixation of closed displaced intra-articular calcaneal fractures with Y-shape anatomical plate via ＂八＂shape incision. Methods Forty-six cases with displaced intra-articular calcaneal fractures were treated with Y-shape anatomical plate via ＂八＂shape incision. Results All patients were successfully followed up for 12 - 30 months. All fractures got union. There were no incision deep infection,skin necrosis and osteomyelitis et al serious complications. According to the AOFAS score,the results were excellent in 30 feet,good in 14,fair in 3 and poor in 2,the total excellent and good rate was 89. 8%. Conclusions Yshape anatomical plate via＂八＂shape incision is a reliable and effective method for treatment of displaced intra-articular calcaneal fractures,which allows direct reduction the surface of subtalar joint and early function.

关 键 词：跟骨骨折 外科手术 微创性 关节内骨折 

分 类 号：R683.42[医药卫生—骨科学] R687.3[医药卫生—外科学]