微创距下关节融合术治疗跟骨陈旧性骨折导致的距下关节创伤性关节炎的临床效果  

Minimally Invasive Surgery in Treatment of Traumatic Arthritis of the Knee Joint Caused by Old Fracture of the Bone

作　　者：贾志刚[1] 勾成果[1] 刘伦[1] 曹丙伦[2] 

机构地区：[1]川北医学院附属第二医院/四川绵阳四0四医院骨科,四川绵阳621000 [2]山东省新汶矿业集团中心医院骨科,山东新泰271233

出　　处：《河北医学》2016年第12期1969-1971,共3页Hebei Medicine

基　　金：四川省卫生厅科研课题;(编号:070378)

摘　　要：目的:探析微创距下关节融合术进行跟骨陈旧性骨折导致的距下关节创伤性关节炎治疗的临床效果。方法:临床选择2008年9月至2015年7月本院收治的跟骨陈旧性骨折引发的距下关节创伤性关节炎病人100例,根据随机数字表法分为对照组和观察组,每组50例,观察组进行微创距下关节融合术治疗,对照组进行开放距下关节融合术治疗,比较两组的融合时间、术中出血量、手术耗时、切口长度等临床指标情况;比较两组的并发症发生情况。结果:观察组的融合时间、术中出血量、手术耗时、切口长度等临床指标显著优于对照组,差异有统计学意义(P<0.05);观察组术后出现跛行、麻木、感染等并发症情况显著低于对照组,差异有统计学意义(P<0.05)。结论:微创距下关节融合术治疗跟骨陈旧性骨折引发的距下关节创伤性关节炎疗法,安全性高,创伤小,术后并发症少,病人远期预后较佳,临床效果确切,值得临床推广。Objective：To investigate the clinical effect of minimally invasive surgery for the treatment of traumatic arthritis of the knee joint.Methods：100 patients with traumatic arthritis of the knee from Sep. 2008 to Jul. 2015 were selected,all because of old calcaneal fracture,according to the random number table method, the cases were divided into control group （ open range joint fusion surgery） and observation group （ minimally invasive surgery） ,50 cases in each group, compared with two groups of fusion time, intraoperative bleeding volume, operation time, incision length, the clinical indicators;complications were compared between the two groups.Results：In the observation group, the fusion time was （9.7±1.2）d, intraoperative bleeding volume was （18.6±3.1）mL, operation time was （55.2±9.7）min, incision length was （2.7±1.1）cm, were significantly better than （11.3±3.9）d,（92.7±9.6）mL,（74.1±12.6）min,（4.8±1.8）cm in the control group, and the difference was statistically significant （ P 〈 0.05）;appear limp and numb, infection and other complications was 2% in the observation group,were significantly lower than 28% in the control group, the difference was statistically significant （P 〈 0.05）.Conclusion：Minimally invasive surgery for the treatment of traumatic ar-thritis of the lower joint with high safety,small trauma, less postoperative complications, prognosis of patients with better, clinical curative effect, it is worth clinical promotion.

关 键 词：微创融合术 创伤性关节炎 距下关节 跟骨陈旧性骨折 

分 类 号：R687.4[医药卫生—骨科学]