经跗骨窦微创切口取跟骨骨折术后钢板临床效果观察  

Clinical effect of postoperative plate removal for calcaneal fracture through a minimally invasive incision at the tarsal sinus

作　　者：廖万华 黄广昌[1] 温春林[1] 郑志豪 LIAO Wan-hua;HUANG Guang-chang;WEN Chun-lin;ZHENG Zhi-hao(Department of Orthopedics,Shicheng People's Hospital,Shicheng,Jiangxi 342700)

机构地区：[1]石城县人民医院骨科

出　　处：《赣南医学院学报》2020年第1期81-82,92,共3页JOURNAL OF GANNAN MEDICAL UNIVERSITY

摘　　要：目的:探讨经跗骨窦微创切口取跟骨骨折术后钢板的临床疗效。方法:32例跟骨骨折内固定术后愈合患者均采用跗骨窦间隙切口行跟骨骨折钢板取出术。结果:跟踪随访6~48个月,术后无1例发生皮肤软组织坏死、伤口感染、骨髓炎及腓肠神经损伤。结论:经跗骨窦入路在跟骨骨折术后钢板取出术中效果显著,此种手术入路有创伤小、切口愈合快,术后切口并发症少等特点,值得临床推广。Objective:To investigate the clinical efficacy of postoperative plate removal for calcaneal fracture through a minimally invasive incision at the tarsal sinus.Methods:All the 32 cases of calcaneal fracture healing patients underwent plate removal for calcaneal fracture by tarsal sinus incision.Results:There was no case of skin and soft tissue necrosis,wound infection,osteomyelitis and sural nerve injury after 6-48 months follow-up.Conclusions:The tarsal sinus approach is effective in the removal of plate after calcaneal fracture healing.This approach is characterized by small wound,rapid wound healing and less postoperative incision complications,and is worthy of clinical promotion.

关 键 词：跟骨骨折内固定术后愈合 跗骨窦切口 腓肠神经 伤口并发症 

分 类 号：R683.42[医药卫生—骨科学]