距下关节镜下桥接棒内固定在跟骨骨折患者中的应用  

Application of arthroscopic surgery for patients with calcaneal fractures

作　　者：周湘桂[1] 李思云[1] 刘华江[1] 凌厚福 Xiang-gui Zhou;Si-yun Li;Hua-jiang Liu;Hou-fu Ling(Department of Orthopaedics, the Second Hospital, Nanchang, Jiangxi 330003, China)

机构地区：[1]江西省南昌市第二医院(南昌市中西医结合医院)骨二科,江西南昌330003

出　　处：《中国内镜杂志》2017年第10期67-71,共5页China Journal of Endoscopy

摘　　要：目的探讨距下关节镜下桥接棒内固定治疗跟骨骨折的临床疗效。方法回顾性分析该院2013年5月-2016年3月38例行距下关节镜监视下桥接棒内固定治疗跟骨骨折的患者,术后平均随访12个月,将术前、术后跟距关节面、Bohler角和Gissane角进行分析比较,术后关节功能经Maryland评分。结果 38例均获得随访,患者术后跟距关节面平整度较术前明显改善,术前、术后患者的Bohler角和Gissane角比较,差异有统计学意义(P<0.05),经Maryland评分优良率为86.8%。结论距下关节镜下桥接棒内固定治疗跟骨骨折,镜下恢复跟距关节面的平整,创伤小,足部功能恢复满意,是一种较好的微创治疗方法。Objective To study the clinical efficacy of bridge baton fixation with arthroscopic surgery in treatment of calcaneal fractures.Method From May2013to November2014,18cases suffered from calcaneal fracture with arthroscopic surgical bridge baton fixation treatment in our hospital served as the object of the study.They were retrospectively analyzed during preoperative,postoperative the joint surface,the Bohler angle and Gissane angle,mean follow-up of12months,Maryland Foot Score were compared by the analysis.Results All cases were followed up for12months averagely.Joint surface flatness of18cases were significantly improved,Bohler angle,Gissane angle were also significant differences(P<0.05).The excellent rate of Maryland score was86.8%.Conclusion The bridge baton fixation with arthroscopic surgery for treatment of calcaneal fractures is certain effective and minimally invasive.Arthroscopy can restore the articular surface.The foot function recovery of the patients is satisfied.

关 键 词：关节镜 桥接棒内固定 微创 跟骨骨折 

分 类 号：R683.42[医药卫生—骨科学]