CAJ | 학술논문

目的：探讨跟骨关节内骨折的手术疗效及并发症防治。方法：65例（68足） SandersⅡ、Ⅲ、Ⅳ型跟骨关节内骨折患者行手术内固定治疗。结果：65例均获随访，时间为8～24（18．6±3．3）个月。参考美国足踝外科Maryland足部评分系统评价足部功能：优32例（33足），良26例（28足），可7例（7足）。 SandersⅡ型20例（21足）83～96分，SandersⅢ型37例（39足）76～92分，SandersⅣ型8例（8足）55～69分。术后2例切口感染及时拆线开放引流换药，1个月后愈合而未复发，2例切口皮缘局部缺血性坏死，经过清创后愈合，2例发生腓骨肌腱炎。结论：良好的手术技巧是保证跟骨关节内骨折疗效的关键，正确选择内固定方式，积极预防并发症，能取得满意疗效。
목적：탐토근골관절내골절적수술료효급병발증방치。방법：65례（68족） SandersⅡ、Ⅲ、Ⅳ형근골관절내골절환자행수술내고정치료。결과：65례균획수방，시간위8～24（18．6±3．3）개월。삼고미국족과외과Maryland족부평분계통평개족부공능：우32례（33족），량26례（28족），가7례（7족）。 SandersⅡ형20례（21족）83～96분，SandersⅢ형37례（39족）76～92분，SandersⅣ형8례（8족）55～69분。술후2례절구감염급시탁선개방인류환약，1개월후유합이미복발，2례절구피연국부결혈성배사，경과청창후유합，2례발생비골기건염。결론：량호적수술기교시보증근골관절내골절료효적관건，정학선택내고정방식，적겁예방병발증，능취득만의료효。
Objective:To evaluate the results of surgical procedure and prevention of the complication of intra -articular calcaneal fractures.Me thods: 65 cases(68 feet)with intra-articular calcaneal fractures which were classified as Sanders type ⅡⅢⅣwere treated by open reduction and internal fixation R. esults:65 cases were followed up for 8--24(18.6 ±3.3)months after operation.According to Maryland foot score system , the results were excellent in 32 cases(33 feet), good in 26 cases(28feet )and fair in 7 cases(7 feet).The scores were restored to 83--96 in 20 cases(21 feet) Sanders type Ⅱ, 76--92 in 37 cases(39 feet) SandersⅢand 55--69 in 8 cases(8 feet) SandersⅣ.2 cases were found incision infection and were healed by drainage and remove the suture in time and were not recurred after 1 month, 2 cases were found necrosis of the wound edge and healed by debridement , peroneal tendonitis happened in 2 ca-ses.Conclusion:Appropriate operative techniques are key points for a successful treatment of intra -articular calcaneal fractures .Good re-sult can be achieved by accurate internal fixations are used and effective measures are taken to prevent the complication .