有移位跟骨关节内骨折的手术治疗  

Operative treatment of displaced intra-articular fractures of the calcaneus

作　　者：潘骏[1] 周之德[2] 王宇仁[2] 姜其为[2] 

机构地区：[1]温州医学院附属第二医院骨科,浙江温州325027 [2]上海第二医科大学附属新华医院

出　　处：《中国骨伤》2003年第1期10-11,共2页China Journal of Orthopaedics and Traumatology

摘　　要：目的　评价切开复位内固定对有移位跟骨关节内骨折的治疗效果。方法　骨折类型采用Sanders骨折分型法 ,6 2例有移位跟骨关节内骨折均采用切开复位内固定治疗方法。 6 2例患者中 ,5 7例获得随访 (91 9% ) ,平均随访时间 2 3个月。结果　根据Maryland足部评分系统评价术后功能 ,本组中优 16例 (2 8 1% ) ,良 2 1例 (36 8% ) ,一般 13例 (2 2 8% ) ,差 7例 (12 3% ) ,优良率 6 4 9%。结论　有移位跟骨关节内骨折应考虑切开复位内固定治疗 ,尽量恢复关节面的平整和跟骨的外形与力线。Objective To evaluate the effect of open reduction and internal fixation for displaced intra-articular fractures of the calcaneus Methods 62 patients were treated by open reduction and internal fixation.The fractures were classified according to Sanders classification.57 of 62 cases were followed up from 5～72 months (average of 23 months).Results Results was evaluated using Maryland Foot Score and excellent results occurred in 16,good in 21,fair in 13 and poor in 7.Conclusion Displaced intra-articular calcaneal fractures should be treated with open reduction and internal fixation,not only for restoring articular congruency but also for the shape and alignment of the calcaneus.

关 键 词：有移位跟骨关节内骨折 手术治疗 内固定 疗效 手术方法 

分 类 号：R683.42[医药卫生—骨科学]