中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2013年
14期
2092-2094
,共3页
陈海涛%杨朝华%梁群英%李启中%郭海欧%杜国聪%区杰雄
陳海濤%楊朝華%樑群英%李啟中%郭海歐%杜國聰%區傑雄
진해도%양조화%량군영%리계중%곽해구%두국총%구걸웅
跟骨%骨折固定术%Sky骨扩张器
跟骨%骨摺固定術%Sky骨擴張器
근골%골절고정술%Sky골확장기
Calcaneus%Fracture fixation%SKy bone expander system
目的 探讨采用Sky骨扩张器经皮跟骨成形术治疗跟骨骨折的临床疗效.方法 该组55例63足跟骨骨折,受伤至手术时间6~16d.骨折按Sanders分类:Ⅱ型38足,Ⅲ型18足,Ⅳ型7足.采用Sky骨扩张器经皮跟骨成形术治疗跟骨骨折,手术标准是X线透视下应用Sky骨扩张器骨折复位满意与Bohler角和Gissane角满意.结果 该组55例63足均得到随访,随访时间平均22个月.按疗效标准评定,优30足,良26足,可7足,无差病例,优良率88.9%.结论 Sky骨扩张器经皮跟骨成形术治疗跟骨骨折,尤其适用于SandersⅡ型及SandersⅢ型跟骨骨折复位固定,并能恢复Bohler角和Gissane角,病程明显缩短,恢复快,疗效满意值得推广.
目的 探討採用Sky骨擴張器經皮跟骨成形術治療跟骨骨摺的臨床療效.方法 該組55例63足跟骨骨摺,受傷至手術時間6~16d.骨摺按Sanders分類:Ⅱ型38足,Ⅲ型18足,Ⅳ型7足.採用Sky骨擴張器經皮跟骨成形術治療跟骨骨摺,手術標準是X線透視下應用Sky骨擴張器骨摺複位滿意與Bohler角和Gissane角滿意.結果 該組55例63足均得到隨訪,隨訪時間平均22箇月.按療效標準評定,優30足,良26足,可7足,無差病例,優良率88.9%.結論 Sky骨擴張器經皮跟骨成形術治療跟骨骨摺,尤其適用于SandersⅡ型及SandersⅢ型跟骨骨摺複位固定,併能恢複Bohler角和Gissane角,病程明顯縮短,恢複快,療效滿意值得推廣.
목적 탐토채용Sky골확장기경피근골성형술치료근골골절적림상료효.방법 해조55례63족근골골절,수상지수술시간6~16d.골절안Sanders분류:Ⅱ형38족,Ⅲ형18족,Ⅳ형7족.채용Sky골확장기경피근골성형술치료근골골절,수술표준시X선투시하응용Sky골확장기골절복위만의여Bohler각화Gissane각만의.결과 해조55례63족균득도수방,수방시간평균22개월.안료효표준평정,우30족,량26족,가7족,무차병례,우량솔88.9%.결론 Sky골확장기경피근골성형술치료근골골절,우기괄용우SandersⅡ형급SandersⅢ형근골골절복위고정,병능회복Bohler각화Gissane각,병정명현축단,회복쾌,료효만의치득추엄.
Objective To explore the clinical effect of percutaneous osteoplasty with SKy bone expander system in the treatment of calcaneal fracture.Methods 63 feet of 55 patients with calcaneal fractures were involved in this study.According to Sanders fracture classification including 38 feet of Sanders Ⅱ,18 feet of Sanders Ⅲ,7 feet of Sanders Ⅳ.There were 6 to 16 days interval between the injuries and the surgeries.The patients were treated by percutaneous osteoplasty with the SKy bone expander system.The standard of operation was the satisfaction of reduction and Bohler's and Gissane's angles under X-ray.Results All of 63 feet of 55 patients were followed up for average 22 months.According to the criterion of therapeutic effect,the results were as follows:excellent in 30 cases,good in 26 cases,fair in 7cases,and no poor case.The excellent and good rate was 88.9%.Conclusion Percutaneous osteoplasty with SKy bone expander system in the treatment of calcaneal fracture,especially in reduction and fixation of Sanders type Ⅱ and Sanders type Ⅲ,can recover Bohler's and Gissane's angles,significantly shorten the duration of illness,and has fast recovery and can possess satisfactory curative effect,and it is worth popularizing.