CAJ | 학술논문

目的探讨跟骨粉碎性骨折的手术治疗方法与临床疗效.方法对21例(24足)手术治疗的跟骨粉碎性骨折资料进行分析,按Sanders分型,对Ⅱ型、Ⅲ型、Ⅳ型骨折应用一期植骨及可塑性跟骨钛钢板切开复位内固定手术治疗.结果 24足跟骨骨折均获得随访,时间9～20个月,平均14个月,所有患者均获得骨性愈合.疗效优14足,良7足,可2足,差1足,优良率87.5％.结论跟骨粉碎性骨折通过手术内固定的方法,可以较好地显露骨折,以利恢复跟骨正常的长度、宽度与高度,恢复正常的B(o)hler角与Gissane角,可靠地内固定利于术后早期功能锻炼,使足踝关节功能达到最大的恢复.
목적 탐토근골분쇄성골절적수술치료방법여림상료효.방법 대21례(24족)수술치료적근골분쇄성골절자료진행분석,안Sanders분형,대Ⅱ형、Ⅲ형、Ⅳ형골절응용일기식골급가소성근골태강판절개복위내고정수술치료.결과 24족근골골절균획득수방,시간9～20개월,평균14개월,소유환자균획득골성유합.료효우14족,량7족,가2족,차1족,우량솔87.5％.결론 근골분쇄성골절통과수술내고정적방법,가이교호지현로골절,이리회복근골정상적장도、관도여고도,회복정상적B(o)hler각여Gissane각,가고지내고정리우술후조기공능단련,사족과관절공능체도최대적회복.
Objective To evaluate operative methods and the clinical effect for comminuted calcaneal fractures.Methods 21 cases(24 feet)of comminuted calcaneal fractures were treated by one stage bone grafting plus open reduction and internal fixation with plastic calcaneus titanium plate.The fractures were classified according to the Sanders system into Sanders Ⅱ,Ⅲ and Ⅳ subgroups.Results All cases were followed up for 9～20 months(14months in average).All cases recovered with good healing of fracture.According to Maryland score,the results were excellent in 14 feet,good in 7 feet,fair in 2 feet,and poor in 1 foot.The excellent and good rate was 87.5％.Conclusions By using the method of internal fixation with plastic calcaneus titanium plate,fracture site can be well exposed,which is helpful to recover calcaneus to its normal length,width,height,Gissane angle and Bohler angle.A reliable internal fixation is helpful for early stage functional excise after surgery,which can maximize the recovery of the ankle function.