比较经皮撬拔复位和切开复位后植入物内固定治疗SandersⅡ-Ⅲ型跟骨骨折的效果  

The Efficacy of Percutaneous Reduction and Open Reduction and Internal Fixation for the Treatment of Sanders-type Ⅲ Calcaneal Fracture

作　　者：陈华[1] 

机构地区：[1]海门市中医院骨科,江苏海门226100

出　　处：《临床研究》2017年第9期63-64,共2页Clinical Research

摘　　要：目的对经皮撬拔复位与切开复位后植入物内固定治疗 Sandersn-II型跟骨骨折的临床效果与安全性进行比较 分析.方法随机选取本院2013年9月？2016年9月在本院进行治疗的 Sandersn-n型跟骨骨折患者50例 ,并以就诊顺序 将其分为了实脸组和对照组.前者采用经皮撬拔复位内固定治疗,后者给予切开复位内固定治疗.随访 1 年 ,对比两组的 治疗效果与并发症.结果实脸组与对照组的优良率分别为88. 00%、84. 00%,组间比较差异不显著;实脸组与对照组并发 症发生率分别为 8. 00%、32. 00%, P〈0. 05.结论在 Sandersn型跟骨骨折患者的治疗中,经皮撬拔复位内固定与切开复位 内固定疗效相当,但前者并发症更少,安全性较高.Objective To compare the efficacy and safety of percutaneous reduction and open reduction and internal fix-ation for the treatment of Sanders Ⅱ-Ⅲ calcaneal fractures. Methods 50 patients with Sanders - type Ⅲ fracture of calcaneus treated in our hospital from September 2013 to September 2016 were randomly selected, and they were divided into experi-mental group and control group according to the order of treatment. The former was treated with percutaneous reduction and internal fixation, and the latter was treated with open reduction and internal fixation. After 1 years of follow-up, the thera-peutic effects and complications of the two groups were compared. Results The excellent rates of the experimental group and the control group were 88% and 84% respectively. There was no significant difference between the two groups. The complica-tion rates of the experimental group and the control group were 8% and 32%,respectively （P〈 0. 05）. Conclusion In the treatment of Sanders type Ⅱ calcaneal fracture, percutaneous reduction and internal fixation with open reduction and internal fixation is quite effective？ but the safety of the former complication is higher.

关 键 词：sandersn-n型跟骨骨折 切开复位 经皮撬拔复位 效果 

分 类 号：R687.3[医药卫生—骨科学]