Herbert钉在足舟状骨骨折治疗中的应用  

The application of Herbert screw in the treatment of navicular bone fracture

作　　者：熊文[1] 潘昊[1] 郑琼[1] 

机构地区：[1]湖北省武汉市普爱医院骨科,430033

出　　处：《重庆医学》2017年第5期623-625,共3页Chongqing medicine

摘　　要：目的评价Herbert钉应用于足舟状骨骨折的效果。方法收集2010-2014年23例足舟状骨骨折患者,术前CT确诊及分型,术中足背前内侧入路,采用导针穿入技术,Herbert钉加压固定,术后石膏固定,循序渐进功能锻炼。结果随访6~18个月,平均12个月,均骨性愈合,愈合时间7~10周,平均9周,CT示1例螺钉穿透皮质骨;1例轻度畸形愈合;23例均无感染、骨不连、骨坏死、创伤性关节炎等并发症。结论应用Herbert螺钉治疗足舟骨骨折疗效满意,值得临床推广应用。Objective To investigate the treatment of Navicular bone fracture with Herbert screw.Methods Twenty-three patients with Navicular bone fracture were collected.They were all conducted with CT scan diagnosis and type,the small incision and targeting wire was used in operation.The Herbert screw was used to fix with pressure,plaster was also used to fix.After operation,the activity training was executed gradually.Results We conducted follow-up of 6-18 months in 23 patients,with an average of 12 months.All patients got bone-healing,the healing time ranges from 7to 10 weeks,with an average of 9weeks.There was one case of screw penetrating cortical bone,and one case of mild deformity healing,among the other 23 cases there were no complications including infection,nonunion,necrosis,osteoarthritis′etc.Conclusion The treatment of Navicular bone fracture with Herbert screw fixation can get firm fixation,function training and healing early,and it′s worth of clinical promotion.

关 键 词：跗骨 骨折 骨折固定术 Herbert钉 

分 类 号：R687.3[医药卫生—骨科学]