“八”字双切口钢板内固定治疗跟骨骨折的临床疗效分析  

The “eight-shaped” double incision steel plate internal fixation in the treatment of calcaneal fracture

作　　者：缪逸鸣[1] 王强[1] 沈影超[1] 陆苇[1] MIAO Yi-ming;WANG Qiang;SHEN Ying-chao;LU Wei(Department of Orthopaedics,Changshu Hospital of Traditional Chinese Medicine,Changshu 215500,Jiangsu,China)

机构地区：[1]南京中医药大学附属常熟医院骨一科,常熟215500

出　　处：《中国临床医学》2018年第1期95-99,共5页Chinese Journal of Clinical Medicine

摘　　要：目的:探讨"八"字双切口钢板内固定治疗跟骨骨折的临床疗效。方法:2014年12月—2016年6月,对于合适类型的跟骨骨折采取跟骨后外侧纵行切口、跟骨前方斜切口"八"字双切口入路,复位骨折后予以解剖锁定钢板内固定。术后观察切口愈合情况,并采用AOFAS踝及足功能评分系统评价术后功能。结果:27例涉及关节面的跟骨骨折患者均顺利完成手术,所有病例骨折复位及内固定位置良好,术后未出现切口感染、皮瓣坏死等并发症。26例患者获得随访,随访6个月~2年,AOFAS踝及足功能评分优15例、良9例、可2例,总优良率92.3%。结论:"八"字双切口钢板内固定治疗跟骨骨折可减少软组织并发症,临床疗效满意,尤其适用于涉及关节面的骨折类型,值得临床推广。Objective:To explore the clinical effect of the“eight-shaped”double incision steel plate internal fixation in the treatment of calcaneal fracture.Methods:From December 2014 to June 2016,calcaneal fractures of the proper type were treated by the“eight-shaped”double incision including calcaneal lateral longitudinal incision and anterior oblique incision,and anatomical locking steel plate internal fixation after fracture reduction.The healing of the incision was observed,and the function of the ankle was evaluated by AOFAS ankle and foot function scoring system.Results:Surgery was successfully completed in 27 cases of calcaneal fractures involving the joint surface,fracture reduction and internal fixation positions were good in all cases,and there were no postoperative incision infection,flap necrosis or other complications.26 patients were followed up for 6 months to 2 years.The AOFAS ankle and foot function scores were excellent in 15 cases,good in 9 cases,and fair in 2 cases,with a total excellent and good rate of 92.3%.Conclusions:The“eight-shaped”double incision steel plate internal fixation in the treatment of calcaneal fracture can reduce the incidence of soft tissue complications,and the clinical curative effect is satisfactory.It is especially suitable for intra-articular fractures,and is worthy of clinical promotion.

关 键 词：跟骨骨折 八字切口 软组织并发症 

分 类 号：R683.42[医药卫生—骨科学]