CAJ | 학술논문

目的探讨改良跟骨接骨板内固定联合植骨治疗跟骨关节内塌陷骨折的疗效.方法选择80例(97足)患者,采用随机数字表法分为未植骨组和植骨组.未植骨组40例47足,采用改良跟骨接骨板内固定治疗.植骨组40例50足,采用改良跟骨接骨板内固定联合植骨治疗.结果未植骨组并发症发生率25.0％,植骨组并发症发生率19.1％,两组并发症差异发生率无统计学意义(x2=0.21,P＞0.05).两组术后Bhler's角和跟骨高度差异均有统计意义(t=14.50、16.99,均P＜0.05).未植骨组Maryland功能优良率66.0％,植骨组为86.0％,植骨组优良率高于未植骨组(x2=5.38,P＜0.05).两组完全负重时间差异有统计学意义(t=11.17,P＜0.05).未植骨组术后1年的Bhler's角和远期Bhler's角丢失同植骨组差异均有统计学意义(t=29.76、9.81,均P＜0.05).结论改良接骨板内固定联合植骨治疗跟骨关节内塌陷骨折可以取得较好的疗效,可以避免远期复位丢失.
목적 탐토개량근골접골판내고정연합식골치료근골관절내탑함골절적료효.방법 선택80례(97족)환자,채용수궤수자표법분위미식골조화식골조.미식골조40례47족,채용개량근골접골판내고정치료.식골조40례50족,채용개량근골접골판내고정연합식골치료.결과 미식골조병발증발생솔25.0％,식골조병발증발생솔19.1％,량조병발증차이발생솔무통계학의의(x2=0.21,P＞0.05).량조술후Bhler's각화근골고도차이균유통계의의(t=14.50、16.99,균P＜0.05).미식골조Maryland공능우량솔66.0％,식골조위86.0％,식골조우량솔고우미식골조(x2=5.38,P＜0.05).량조완전부중시간차이유통계학의의(t=11.17,P＜0.05).미식골조술후1년적Bhler's각화원기Bhler's각주실동식골조차이균유통계학의의(t=29.76、9.81,균P＜0.05).결론 개량접골판내고정연합식골치료근골관절내탑함골절가이취득교호적료효,가이피면원기복위주실.
Objective To investigate the effect of improved bone plate fixation and bone grafting in the treat ment of intra-articular calcaneal fracture.Methods 80 patients with intra-articular calcaneal fractures were randomly divided into the two groups.The non-bone graft group(47 feet in 40 patients)was given improved bone plate fixation.The bone graft group(50 feet in 40 patients)was given improved bone plate fixation and bone grafting.Results The incidence rate of complication in the non-bone graft group was 25.0％ and that in the bone graft group was 19.1％.The difference between the two groups was not significant(x2 =0.21,P ＞ 0.05).Postoperative Bhler's angle and calcaneal height between the two groups had significant differences (t =14.5,16.99,all P ＜ 0.05).The excellent rate of Maryland functionality in non-bone graft group was 66.0％,which was significantly lower than 86.0％ in the bone graft group(x2 =5.38,P ＜ 0.05).The average full weight bearing time between the two groups had significant difference (t =11.17,P ＜ 0.05).Bhler's angle after 1 year and forwa rd Bhler's angle loss of the non-bone graft group had significant differences compared with the bone graft group (t =29.76,9.81,all P ＜ 0.05).Conclusion Improved bone plate fixation and bone grafting in the treatment of intra-articular calcaneal fracture can obtain better results and avoid the long-term loss of reduction.