经皮螺钉内固定治疗跟骨折对跟骨及踝关节功能康复的影响  

EFFECT OF PERCUTANEOUS SCREW INTERNAL FIXATION IN THE TREATMENT OF CALCANEAL FRACTURES ON FUNCTIONAL REHABILITATION OF CALCANEAL AND ANKLE

作　　者：杨伟 Yang Wei(Hangzhou Xiasha Hospital,Hangzhou 310018,China)

机构地区：[1]浙江省杭州市下沙医院,310018

出　　处：《现代养生》2020年第14期27-29,共3页Health Protection and Promotion

摘　　要：目的探讨经皮螺钉内固定治疗跟骨骨折对跟骨及踝关节功能康复的影响。方法选取我院自2017年8月—2019年1月收治的70例跟骨骨折患者作为研究对象,根据不同的治疗方案分为观察组与对照组,每组各35例。对照组采用钢板内固定治疗,观察组采用经皮螺钉内固定治疗。结果治疗后6个月,观察组患者踝关节功能优良率为88.6%,高于对照组的80.0%,但差异无统计学意义(P>0.05);观察组患者跟骨参数与Bolher角度变化明显优于对照组,差异有统计学意义(P<0.05);观察组手术时间、住院时间、住院费用、愈合时间均明显小于对照组,差异有统计学意义(P<0.05)。结论经皮螺钉内固定手术治疗跟骨骨折患者,能有效促进患者跟骨的康复功能,稳定患者关节功能,可在临床推广应用。Objective To explore the effect of percutaneous screw internal fixation in the treatment of calcaneal fractures on the functional rehabilitation of calcaneal and ankle joints.Methods a total of 70 patients with calcaneal fractures admitted to our hospital from August 2017 to January 2019 were selected as study subjects and divided into control group and study group according to different treatment regimens,with 35 patients in each group.The control group was treated with steel plate internal fixation,while the study group was treated with percutaneous screw internal fixation.Results The rate of good ankle joint function in the study group was 88.6%higher than that in the control group(80.0%),but no significant difference(P>0.05).The changes of calcaneal parameters and Bolher Angle in the study group were significantly better than those in the control group(P<0.05).The surgical indexes of the study group were significantly better than those of the control group(P<0.05).Conclusion Percutaneous screw internal fixation can effectively promote the rehabilitation of calcaneal in patients with calcaneal fracture,stabilize the joint function,and achieve good therapeutic effect.

关 键 词：经皮螺钉内固定治疗 跟骨骨折 跟骨及踝关节 功能康复 

分 类 号：R687.3[医药卫生—骨科学]