中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2009年
5期
827-828
,共2页
距下关节%骨折%内固定器
距下關節%骨摺%內固定器
거하관절%골절%내고정기
Subtalar%Fractures Boue%Internal fixation
目的 探讨切开复位AO钛钢板内固定治疗累及跟距关节的骨跟骨折的效果.方法 行切开复位AO钛钢板内固定治疗累及跟距关节的跟骨骨折36例38侧,比较手术前后Bohler角和Gissane角.平均随访11.2个月.结果 所有患者均恢复正常行走,Bohler角手术前平均-7.20°,手术后平均22.31°;Gissane角手术前平均158.70°,手术后平均1 13.30°.结论 对于累及跟距关节的跟骨骨折行切开复位AO钛钢板内固定,可以恢复跟距关节,达到解剖复位,患者能够早期进行功能锻炼.
目的 探討切開複位AO鈦鋼闆內固定治療纍及跟距關節的骨跟骨摺的效果.方法 行切開複位AO鈦鋼闆內固定治療纍及跟距關節的跟骨骨摺36例38側,比較手術前後Bohler角和Gissane角.平均隨訪11.2箇月.結果 所有患者均恢複正常行走,Bohler角手術前平均-7.20°,手術後平均22.31°;Gissane角手術前平均158.70°,手術後平均1 13.30°.結論 對于纍及跟距關節的跟骨骨摺行切開複位AO鈦鋼闆內固定,可以恢複跟距關節,達到解剖複位,患者能夠早期進行功能鍛煉.
목적 탐토절개복위AO태강판내고정치료루급근거관절적골근골절적효과.방법 행절개복위AO태강판내고정치료루급근거관절적근골골절36례38측,비교수술전후Bohler각화Gissane각.평균수방11.2개월.결과 소유환자균회복정상행주,Bohler각수술전평균-7.20°,수술후평균22.31°;Gissane각수술전평균158.70°,수술후평균1 13.30°.결론 대우루급근거관절적근골골절행절개복위AO태강판내고정,가이회복근거관절,체도해부복위,환자능구조기진행공능단련.
Objective The treatment of open reduction and internal fixation with AO titanium plate was applied for calcaneus fracture involving talocalcaneal joint. Methods 36 patients were performed with this method, the Bolder angle and Gissane angle of calcaneus were compared before and after operation. The patients were followed up for an average period of 11.2 months. Results All the patients were well healed, the average data of Bolder angle was 22. 31° after operation while - 7. 20° before operation. Conclusion The treatment of open reduction and internal fixation with AO titanium plate is a kind of good method for calcaneus fracture involving talocalcaneal joint. It can not only resume the Bohler angle and Gissane angle, but also resume length, breadth, height of calcaneus. As a result, it can achieve anatomical reduction and patients can do exercises as soon as possible.
