CAJ | 학술논문

目的探讨使用切开复位解剖型钛板内固定治疗波及距下关节跟骨塌陷性骨折的效果.方法 2004年4月至2007年11月,使用切开复位解剖型钛板内固定治疗波及距下关节跟骨塌陷性骨折28例(36足),比较手术前后Bolder角、Gissane角、跟骨的宽度及高度.结果术后平均随访20个月,所有患者均恢复正常行走,足弓基本恢复正常,Bohler角由术前平均-6.23°±0.35°恢复至术后平均19.89°±1.28°,跟骨丘部高度由术前平均(36.10±2.38)mm恢复至术后平均(42.80±2.49)mm.结论对于波及距下关节的跟骨塌陷性骨折行切开复位解剖型钛板内固定治疗,既可复位距下关节、Bohler角、Gissane角,又可恢复跟骨的宽度及高度,使其达到解剖复位,患者能早期功能锻炼,是较好的治疗方法.
목적 탐토사용절개복위해부형태판내고정치료파급거하관절근골탑함성골절적효과.방법 2004년4월지2007년11월,사용절개복위해부형태판내고정치료파급거하관절근골탑함성골절28례(36족),비교수술전후Bolder각、Gissane각、근골적관도급고도.결과 술후평균수방20개월,소유환자균회복정상행주,족궁기본회복정상,Bohler각유술전평균-6.23°±0.35°회복지술후평균19.89°±1.28°,근골구부고도유술전평균(36.10±2.38)mm회복지술후평균(42.80±2.49)mm.결론 대우파급거하관절적근골탑함성골절행절개복위해부형태판내고정치료,기가복위거하관절、Bohler각、Gissane각,우가회복근골적관도급고도,사기체도해부복위,환자능조기공능단련,시교호적치료방법.
Objective To approach the treatment of open reduction and internal fixation with titanium plate of anatomic type was applied for calcaneua fracture involving talocalcaneal joint. Methods Twenty-eight patients (36 feet) were performed with open reduction and internal fixation with titanium plate of anatomic type from April 2004 to November 2007. The Bohler angle, the Gissane angle and the length, breadth, height of calcaneus were compared before and after operation. Results The patients were followed up in an average period of 20 months. All the patients were healed and their arches became normal. The average data of Bohler angle was 19.89°±1.28° after operation while -6.23°±0.35°before operation. The average height of calcaneus was (42.80±2.49) mm after operation while (36.10±2.38) mm before operation. Conclusions The treatment of open reduction and internal fixation with titanium plate of anatomic type is a kind of good method for calcaneus fracture involving talocalcaneal joint. It can not only resume the Bolder angle and the Gissane angle,but also resume the, breadth, height of calcaneus. As a result, it can achieve anatomical reduction and patients can do exercises as soon as possible.