CAJ | 학술논문

目的评价有限内固定治疗跟骨骨折的临床疗效.方法自2003年4月至2007年4月对22例跟骨骨折采用有限切开复位多枚螺钉和(或)空心钉内固定治疗.骨折按Sanders分型:Ⅱ型8例,Ⅲ型12例,Ⅳ型2例.对临床结果进行分析总结.结果经术后8～15月,平均11个月随访,骨折均获临床愈合.按Maryland足部评分系统评价术后功能,优10例,良9例,优良率86.4%.结论有限内固定治疗跟骨骨折,符合微创治疗原则,操作简单,并发症少,是治疗跟骨骨折的有效方法之一.
목적 평개유한내고정치료근골골절적림상료효.방법 자2003년4월지2007년4월대22례근골골절채용유한절개복위다매라정화(혹)공심정내고정치료.골절안Sanders분형:Ⅱ형8례,Ⅲ형12례,Ⅳ형2례.대림상결과진행분석총결.결과 경술후8～15월,평균11개월수방,골절균획림상유합.안Maryland족부평분계통평개술후공능,우10례,량9례,우량솔86.4%.결론 유한내고정치료근골골절,부합미창치료원칙,조작간단,병발증소,시치료근골골절적유효방법지일.
Objective To evaluate clinical effect in treating intra-articular fraeures of ealeaneus with limited internal fixzation. Methods From April 2003 to April 2007 in our department,22 cases of intra-articular calcaneal fractures were treated with limited internal fixation. These fractures were classified by the standard of Sanders,including 8 cases of type Ⅱ ,12 cases of type Ⅲ ,and 2 cases of type IV ,the clinical effect was analysed. Results All the patients were followed from 8 to 22 months with an average 11 months, According to the Maryland foot score, the excellent,good and fair curative effects were achieved in 10,9 and 3 cases respectively with an excellent and good curative rate of 86.4%. Conclusion The limited internal fixation is an ideal method in treating intra-articular calcaneal fractures because of eausea mininal soft tissue damage,little complication and it is simple procedure.