中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2014年
1期
15-16
,共2页
跟骨骨折%骨折内固定术%关节内骨折%植骨%人工骨
跟骨骨摺%骨摺內固定術%關節內骨摺%植骨%人工骨
근골골절%골절내고정술%관절내골절%식골%인공골
Calcaneal fractures%Internal fixation of fracture%Intra-articular fracture%Bone graft%Artificial bone
目的：探讨比较跟骨骨折临床手术治疗中不同植骨内固定选择的临床效果。方法：选取112例根据Sanders分型方法分为Ⅲ型以上的跟骨骨折患者，47例Ⅲ型患者采用单纯植骨或单纯内固定治疗，65例采用植骨+内固定治疗，其中Ⅲ型20例，IV型45例。结果：112例均获随访，时间6~8个月。全部骨性愈合，愈合时间14~22周，跟踝关节功能恢复良好。单纯植骨或单纯内固定组：优24例、良15例、中6例、差2例；植骨+内固定组：优29例、良26例、中8例、差2例；总优良率83.93%。结论：根据跟骨骨折Sanders分型，Ⅲ型以上骨折均需植骨或内固定治疗，单纯植骨或单纯内固定治疗适合部分Ⅲ型骨折，植骨+内固定治疗适合Ⅲ型以上骨折尤其是IV型骨折。
目的：探討比較跟骨骨摺臨床手術治療中不同植骨內固定選擇的臨床效果。方法：選取112例根據Sanders分型方法分為Ⅲ型以上的跟骨骨摺患者，47例Ⅲ型患者採用單純植骨或單純內固定治療，65例採用植骨+內固定治療，其中Ⅲ型20例，IV型45例。結果：112例均穫隨訪，時間6~8箇月。全部骨性愈閤，愈閤時間14~22週，跟踝關節功能恢複良好。單純植骨或單純內固定組：優24例、良15例、中6例、差2例；植骨+內固定組：優29例、良26例、中8例、差2例；總優良率83.93%。結論：根據跟骨骨摺Sanders分型，Ⅲ型以上骨摺均需植骨或內固定治療，單純植骨或單純內固定治療適閤部分Ⅲ型骨摺，植骨+內固定治療適閤Ⅲ型以上骨摺尤其是IV型骨摺。
목적：탐토비교근골골절림상수술치료중불동식골내고정선택적림상효과。방법：선취112례근거Sanders분형방법분위Ⅲ형이상적근골골절환자，47례Ⅲ형환자채용단순식골혹단순내고정치료，65례채용식골+내고정치료，기중Ⅲ형20례，IV형45례。결과：112례균획수방，시간6~8개월。전부골성유합，유합시간14~22주，근과관절공능회복량호。단순식골혹단순내고정조：우24례、량15례、중6례、차2례；식골+내고정조：우29례、량26례、중8례、차2례；총우량솔83.93%。결론：근거근골골절Sanders분형，Ⅲ형이상골절균수식골혹내고정치료，단순식골혹단순내고정치료괄합부분Ⅲ형골절，식골+내고정치료괄합Ⅲ형이상골절우기시IV형골절。
Objective:To study and compare the clinical effect of calcaneus bone internal fixation in the treatment of clinical operation of planting different fracture.Method:112 cases according to Sanders classification method of typeⅢabove calcaneal fractures were selected,47 cases of typeⅢwere treated with simple bone graft or internal fixation,65 cases were treated with bone grafting and internal fixation(20 cases of type Ⅲ,45 cases of type IV).Result:112 cases were followed up for 6-8 months,all got bony union in 14-22 weeks with good joint functional recovery.In simple bone graft or internal fixation group,the results were excellent in 24 cases,good in 15 cases,medium in 6 cases,and poor in 2 cases;In bone grafting and internal fixation group,the results were excellent in 29 cases,good in 26 cases,medium in 8 cases,and poor in 2 cases.The total excellent and good rate was 83.93%.Conclusion:According to the Sanders classification for calcaneal fractures,bone graft or internal fixation treatment is suitable for above SandersⅢ,simple bone graft or internal fixation treatment is suitable for SandersⅢ,bone grafting and internal fixation treatment is suitable for aboveⅢin particular IV.
