前交叉韧带重建定位器在跟骨骨折中的应用观察  

Observation on the application of orthopedic anterior cruciate ligament reconstruction locator in calcaneal fractures

作　　者：张耀林 冯瑞 曾德妙 Zhang Yaolin;Feng Rui;Zeng Demiao(Department of Trauma Surgery,Kunming Medical University Affiliated Honghe Hospital,Yunnan Southern Center Hospital,First People’s Hospital of Honghe Hani and Yi Autonomous Prefecture,Honghe 661199,Yunnan,China;Department of Medical Laboratory Science,Kunming Medical University Affiliated Honghe Hospital,Yunnan Southern Center Hospital,First People’s Hospital of Honghe Hani and Yi Autonomous Prefecture,Honghe 661199,Yunnan,China;Department of Joint Surgery,Kunming Medical University Affiliated Honghe Hospital,Yunnan Southern Center Hospital,First People’s Hospital of Honghe Hani and Yi Autonomous Prefecture,Honghe 661199,Yunnan,China)

机构地区：[1]昆明医科大学附属红河医院/云南省滇南中心医院/云南省红河哈尼族彝族自治州第一人民医院创伤外科,云南红河661199 [2]昆明医科大学附属红河医院/云南省滇南中心医院/云南省红河哈尼族彝族自治州第一人民医院医学检验科,云南红河661199 [3]昆明医科大学附属红河医院/云南省滇南中心医院/云南省红河哈尼族彝族自治州第一人民医院关节外科,云南红河661199

出　　处：《足踝外科电子杂志》2024年第4期37-42,共6页Electronic Journal of Foot and Ankle Surgery

基　　金：2024年度云南省教育厅科学研究基金项目(编号:2024J0401);云南省滇南中心医院(红河州第一人民医院)2020年度院级科研项目(编号:KY202009)。

摘　　要：目的探讨前交叉韧带重建定位器在跟骨骨折中的临床效果。方法回顾分析2019年8月至2021年10月昆明医科大学附属红河医院收治的58例SandersⅡ~Ⅲ型跟骨骨折病例,根据载距突螺钉置入手术方式分为对照组(n=28)和观察组(n=30)。两组患者均采用跟骨切开复位内固定,对照组在术中采用常规C形臂机透视下跟骨载距突螺钉置入方法进行载距突螺钉的固定,而观察组则采用前交叉韧带胫骨端点对点定位器辅助下置入载距突螺钉。对手术时间、术中出血量、术中置入载距突螺钉时C形臂机透视次数、术后踝关节功能评分及手术并发症进行统计分析。结果观察组在手术时间、术中出血量及C形臂机透视次数、踝关节功能评分等方面显著优于对照组(P<0.05),两组手术并发症无显著差异(P>0.05)。结论前交叉韧带胫骨端点对点定位器辅助固定跟骨骨折载距突螺钉,能够显著提高手术效率和疗效,且手术安全性较好。Objective To observation on the application of orthopedic anterior cruciate ligament reconstruction locator in calcaneal fractures.Methods A retrospective analysis was conducted on 58 cases of Sanders typeⅡ~Ⅲcalcaneal fractures admitted from August 2019 to October 2021 in Kunming Medical University Affiliated Honghe Hospital.These cases were divided into a control group(n=28)and an observation group(n=30)based on the surgical method of talus screw placement.Both groups underwent calcaneal incision reduction and internal fixation.The control group underwent talus screw fixation under conventional C-arm fluoroscopy during the operation,while the observation group underwent talus screw placement assisted by the anterior cruciate ligament tibial endpoint locator.Statistical analysis was conducted on operation time,intraoperative blood loss,number of C-arm fluoroscopy during talus screw placement,postoperative ankle joint function scores,and surgical complications.Results The observation group significantly outperformed the control group in terms of operation time,intraoperative blood loss,number of C-arm fluoroscopy,and ankle joint function scores(P<0.05).There was no significant difference in surgical complications between the two groups(P>0.05).Conclusion The anterior cruciate ligament tibial endpoint locator-assisted placement of calcaneal fracture talus screws can significantly improve surgical efficiency and efficacy,with good surgical safety.

关 键 词：跟骨骨折 载距突 螺钉 定位器 疗效 

分 类 号：R68[医药卫生—骨科学]