跟骨外“八”字克氏针辅助复位空心钉三维固定跟骨骨折研究  

Study on Three-Dimensional Fixation of Calcaneal Fracture with Extralcaneal“Eight”Kerr’s Needle Assisted Reduction with Hollow Nail

作　　者：黎清交 范星华 周加平 曾森炎 张观辉 欧阳观保 赖炜 LI Qing-jiao;FAN Xing-hua;ZHOU Jia-ping;ZENG Sen-yan;ZHANG Guan-hui;OUYANG Guan-bao;LAI Wei(Xingguo County Hospital of Traditional Chinese Medicine,Jiangxi Ganzhou 342400)

机构地区：[1]兴国县中医院,江西赣州342400

出　　处：《中国医疗器械信息》2024年第21期150-152,共3页China Medical Device Information

基　　金：江西省卫生健康委科技计划项目(项目名称:跟骨外“八”字克氏针辅助复位空心钉三维固定跟骨骨折,项目编号:202312183)。

摘　　要：目的:研究跟骨外“八”字克氏针辅助复位空心钉三维固定跟骨骨折效果。方法:采集2020年1月~2023年6月医院60例跟骨骨折患者,随机分成对照组(30例,跟骨外侧L型切口内固定术)、观察组(30例,跟骨外“八”字克氏针辅助复位空心钉三维固定术),比较Gissane’s角、Bohler’s角、跟骨宽度、术后感染、术口皮缘坏死、术中出血量、手术时间、住院天数、骨折愈合时间。结果:Gissane’s角、Bohler’s角、跟骨宽度,术前两组比较无差异(P>0.05);术后Gissane’s角、Bohler’s角,观察组均大于对照组(P<0.05);跟骨宽度,观察组小于对照组(P<0.05)。术后感染、术口皮缘坏死发生率比较,观察组均低于对照组(P<0.05)。术中出血量、手术时间、住院天数、骨折愈合时间观察组均少于对照组(P<0.05)。结论:对跟骨骨折患者实行跟骨外“八”字克氏针辅助复位空心钉三维固定术,能减少术后感染、术口皮缘坏死发生,缩减术中出血量、手术、骨折愈合、住院时间。Objective:To study the effect of three dimensional fixation of calcaneal fracture with hollow nail assisted reduction with“eight”Kerr’s needles.Methods:60 patients with calcaneal fracture in the hospital from January 2020 to June 2023 were collected,and randomly divided into control group(30 cases with internal fixation through L-shaped incision outside calcaneal bone)and observation group(30 cases with three-dimensional fixation through hollow nail assisted reduction with“eight”Kerr’s needle outside calcaneal bone).Gissane’s angle,Bohler’s angle,calcaneal bone width,postoperative infection,operative margin necrosis,intraoperative blood loss,operative time,hospital stay and fracture healing time were compared.Results:Gissane’s angle,Bohler’s angle and calcaneal bone width were not different between the two groups before surgery(P>0.05).The Gissane’s Angle and Bohler’s Angle in the observation group were higher than those in the control group(P<0.05).Calcaneal bone width in the observation group was lower than that in the control group(P<0.05).The incidence of postoperative infection and necrosis of the operative margin in the observation group was lower than that in the control group(P<0.05).The amount of blood loss,operation time,hospital stay and fracture healing time in the observation group were all lower than those in the control group(P<0.05).Conclusion:In the patients with calcaneal fracture,the application of“eight”Kerr’s needle assisted reduction hollow nail three-dimensional fixation can reduce the incidence of postoperative infection,operative margin necrosis,intraoperative blood loss,operation,fracture healing and hospital stay.

关 键 词：跟骨骨折 跟骨外“八”字克氏针 空心钉 三维固定 临床效果 

分 类 号：TH781[机械工程—仪器科学与技术]