检验医学与临床
檢驗醫學與臨床
검험의학여림상
JOURNAL OF LABORATORY MEDICINE AND CLINICAL SCIENCES
2014年
15期
2084-2086
,共3页
联合%克氏针%跟骨骨折%骨折固定术
聯閤%剋氏針%跟骨骨摺%骨摺固定術
연합%극씨침%근골골절%골절고정술
joint%Kirschner%intra-articular calcaneal fractures%fractures fixation internal
目的:探讨克氏针撬拨顺序复位联合接骨板内固定治疗SandersⅡ~Ⅳ型跟骨关节内塌陷骨折的疗效。方法应用克氏针联合接骨板内固定术式治疗SandersⅡ、Ⅲ、Ⅳ型42例50足跟骨关节内骨折。结果所有患者均获随访,随访时间6~24个月,平均(14±9.5)个月。实验组手术时间、手术出血量和VAS评分均小于对照组,差异有统计学意义( P<0.05)。两组患者术后B?hler′s角、Gissane角、跟骨长度和丘部高度相比差异有统计学意义(P<0.05)。两组跟骨宽度和结节部高度相比差异无统计学意义(P>0.05)。对照组Fernandez跟骨骨折功能组优良率69.05%,实验组92.86%,两组优良率相比差异有统计学意义( P<0.05)。结论克氏针撬拨顺序复位联合接骨板内固定是治疗SandersⅡ~Ⅳ型跟骨关节内塌陷骨折的有效方法。
目的:探討剋氏針撬撥順序複位聯閤接骨闆內固定治療SandersⅡ~Ⅳ型跟骨關節內塌陷骨摺的療效。方法應用剋氏針聯閤接骨闆內固定術式治療SandersⅡ、Ⅲ、Ⅳ型42例50足跟骨關節內骨摺。結果所有患者均穫隨訪,隨訪時間6~24箇月,平均(14±9.5)箇月。實驗組手術時間、手術齣血量和VAS評分均小于對照組,差異有統計學意義( P<0.05)。兩組患者術後B?hler′s角、Gissane角、跟骨長度和丘部高度相比差異有統計學意義(P<0.05)。兩組跟骨寬度和結節部高度相比差異無統計學意義(P>0.05)。對照組Fernandez跟骨骨摺功能組優良率69.05%,實驗組92.86%,兩組優良率相比差異有統計學意義( P<0.05)。結論剋氏針撬撥順序複位聯閤接骨闆內固定是治療SandersⅡ~Ⅳ型跟骨關節內塌陷骨摺的有效方法。
목적:탐토극씨침효발순서복위연합접골판내고정치료SandersⅡ~Ⅳ형근골관절내탑함골절적료효。방법응용극씨침연합접골판내고정술식치료SandersⅡ、Ⅲ、Ⅳ형42례50족근골관절내골절。결과소유환자균획수방,수방시간6~24개월,평균(14±9.5)개월。실험조수술시간、수술출혈량화VAS평분균소우대조조,차이유통계학의의( P<0.05)。량조환자술후B?hler′s각、Gissane각、근골장도화구부고도상비차이유통계학의의(P<0.05)。량조근골관도화결절부고도상비차이무통계학의의(P>0.05)。대조조Fernandez근골골절공능조우량솔69.05%,실험조92.86%,량조우량솔상비차이유통계학의의( P<0.05)。결론극씨침효발순서복위연합접골판내고정시치료SandersⅡ~Ⅳ형근골관절내탑함골절적유효방법。
Objective To investigate the effect of Kirschner wire assisted plate fixation in treatment of intra-articular calcaneal fractures .Methods 50 cases in 42 patients of intra-articular calcaneal fractures (Type of SandersⅡ ,ⅢandⅣ) were treated with Kirschner wire assisted plate fixation .Results All cases were followed up for (14 ± 9 .5)months(6~24 months) .Operation time ,the amount of bleeding and VAS scores of the test group were signifi-cantly less than the control group(P<0 .05) .B?hler′s angle ,Gissane angle ,calcaneal length and thalamus height of two groups had significant difference(P<0 .05) .Calcaneal width and height of the tubercle of the two groups calca-neal tubercle height had no significant difference(P>0 .05) .Fernandez calcaneal fractures function excellent rate of control group was 69 .05% and test group was 92 .86% .Excellent rate of two groups had significant difference (P<0 .05) .Conclusion Kirschner wire assisted plate fixation is an effective method in treatment of intra-articular calca-neal fractures .