CAJ | 학술논문

目的：探讨解剖型跟骨钛板并植骨治疗跟骨关节内骨折的临床疗效。方法选择2009年3月～2012年5月期间收治的25例（33足）SanderslⅡ～Ⅳ型跟骨关节内骨折患者，男性20例（26足），女性5例（7足）；年龄15～65岁，平均（36.16±14.63）岁。单足17例，双足8例，采用切开复位解剖型跟骨钛板内固定并植骨进行治疗，术中恢复跟骨解剖形态，按Maryland足部评分系统进行术后功能评分，评价手术效果，进行系统的回顾性总结分析。结果本组25例（33足）术后均获12～36个月随访（平均19.3个月），按Maryland足部评分标准：优17足、良12足、可4足，差0足；优良率为87.88％。结论解剖型跟骨钛板并植骨治疗跟骨关节内骨折能够恢复跟骨距下关节面平整，有利于患者早期功能锻炼，疗效可靠。
목적：탐토해부형근골태판병식골치료근골관절내골절적림상료효。방법선택2009년3월～2012년5월기간수치적25례（33족）SanderslⅡ～Ⅳ형근골관절내골절환자，남성20례（26족），녀성5례（7족）；년령15～65세，평균（36.16±14.63）세。단족17례，쌍족8례，채용절개복위해부형근골태판내고정병식골진행치료，술중회복근골해부형태，안Maryland족부평분계통진행술후공능평분，평개수술효과，진행계통적회고성총결분석。결과본조25례（33족）술후균획12～36개월수방（평균19.3개월），안Maryland족부평분표준：우17족、량12족、가4족，차0족；우량솔위87.88％。결론해부형근골태판병식골치료근골관절내골절능구회복근골거하관절면평정，유리우환자조기공능단련，료효가고。
Objective To investigate the curative effect of anatomical Ti-plate combined with bone graft in treatment of intra-articular calcaneal fractures .Methods Retrospective analysis was conducted in 25 patients with 33 feet from Mar.2009 to May 2012,who were diagnosed as Sanders typeⅡ-Ⅳintra-articular calcaneal fractures .There were 20 males(26 feet) and 5 females (7 feet) with average age of (36.16 ±14.63)years(ranged from 15 to 65 years old) .There were 17 cases of single foot injury and 8 cases of double feet injury .All the patients were treated with Ti-plate fixation combined with bone graft and their calcaneal anatomic forms were recovered during operation .Mary-land foot score was used to evaluate the postoperative function .Results All the 25 cases (33 feet) were followed up for 12-36 months,with a mean time of 19.3 months.According to Maryland foot score ,17 feet were rated as excellent , 12 feet as good,4 feet as moderate.The excellent and good rate was 87.88 %.Conclusion Anatomical Ti-plate combined with bone graft for treatment of intra-articular calcaneal fractures can restore the smoothness of subtalar joint surface,help patients take earlier functional exercise and obtain a reliable curative effect .