同种异体骨植入与非植骨结合跟骨钛板固定治疗跟骨骨折的临床对比分析  

Clinical Comparative Analysis of Allogeneic Bone Implantation and Non-grafting Combined with Calcaneal Titanium Plate Fixation in the Treatment of Calcaneal Fracture

作　　者：何嘉承[1] HE Jiacheng(First People’s Hospital of Jiujiang City,Jiangxi Province,Jiujiang 332000,China)

机构地区：[1]江西省九江市第一人民医院,江西九江332000

出　　处：《中国医学创新》2021年第36期10-13,共4页Medical Innovation of China

基　　金：江西省卫生计生委科技计划项目(20204214)。

摘　　要：目的:探析同种异体骨植入与非植骨结合跟骨钛板固定治疗跟骨骨折的不同效果。方法:选取2013年1月-2021年1月在九江市第一人民医院骨科治疗的64例跟骨骨折患者的临床资料进行回顾性分析,按手术方法的不同进行分组,每组32例。参照组采用常规跟骨钛板固定治疗,观察组采用跟骨钛板联合同种异体骨植骨进行治疗。比较两组术中术后指标、Bohler角及Gissane角变化情况、足部功能恢复情况及术后并发症情况。结论:两组手术时间、术中出血量、骨折愈合时间比较,差异均无统计学意义(P>0.05)。术前,两组Bohler角、Gissane角比较,差异均无统计学意义(P>0.05);术后3个月,两组Bohler角、Gissane角较术前均增大(P<0.05),但两组比较差异均无统计学意义(P>0.05)。参照组术后足部功能恢复优良率为90.63%,低于观察组的93.75%,但差异无统计学意义(P>0.05)。参照组并发症发生率为12.50%,低于观察组的18.75%,但差异无统计学意义(P>0.05)。结果:同种异体骨植入与非植骨结合跟骨钛板固定治疗SandersⅡ、Ⅲ型跟骨骨折均可获得让人满意的临床效果,恢复Bohler角、Gissane角,同种异体骨的植入不会增加术后并发症。Objective:To explore the different effects of allogeneic bone implantation and non-grafting combined with calcaneal titanium plate fixation in the treatment of calcaneal fractures.Method:The clinical data of 64 patients with calcaneal fractures treated in the Department of Orthopedics,First People’s Hospital of Jiujiang City from January 2013 to January 2021 were selected for retrospective analysis and grouped according to different surgical methods,32 cases in each group.The reference group was treated with conventional calcaneal titanium plate fixation,and the observation group was treated with calcaneal titanium plate combined with allogeneic bone grafting.The intraoperative and postoperative indexes,the changes of Bohler angle and Gissane angle,the recovery of foot function and postoperative complications of two groups were compared.Result:There were no statistically significant differences in the time of operation,intraoperative blood loss,and fracture healing time between two groups of patients(P>0.05).Before operation,the Bohler angle and Gissane angle of two groups were compared,there were no statistically significant differences(P>0.05);at 3 months after operation,the Bohler angle and Gissane angle of two groups were bigger than those before operation(P<0.05),but there were no statistically significant differences in two groups(P>0.05).The postoperative foot function recovery rate of the reference group was 90.63%,which was lower than 93.75%of the observation group,but there was no statistically significant difference(P>0.05).The complication rate in the reference group was 12.50%,which was lower than 18.75%in the observation group,but there was no statistically significant difference(P>0.05).Conclusion:Allogeneic bone implantation and non-grafting combined with calcaneal titanium plate fixation can achieve satisfactory clinical results in the treatment of SandersⅡandⅢcalcaneal fractures,the Bohler angle and Gissane angle are restored,the allogeneic bone implantation is not will increase postoperat

关 键 词：跟骨骨折 同种异体骨 跟骨钛板 

分 类 号：R687.3[医药卫生—骨科学]