CAJ | 학술논문

目的：对比跟骨的解剖型钢板与锁定型钢板在治疗跟骨关节内骨折的疗效．方法67例跟骨关节内骨折患者．随机分为解剖型钢板组（n＝33）和锁定型钢板组（n＝34）．术后1周与6月，比较2组：（1） Bo.. hler角；（2） Gissane角；（3）跟骨长轴长度；（4）跟骨宽度；（5）跟骨丘部高度；（6） Maryland足部评分等．结果术后1周，2组间的Maryland足部评分、跟骨长轴长度、跟骨宽度、Bo..hler角、Gissane角、跟骨宽度和跟骨丘部高度差异无统计学意义（＞0.05）；术后36周，2组间的Maryland足部评分、跟骨长轴长度、跟骨宽度、差异无统计学意义（＞0.05）；但Bo..hler角、Gissane角、跟骨的宽度和跟骨的丘部高度等指标上，差异有统计学意义（＜0.05）．结论术后6月随访中，锁定型钢板组主要解剖测量指标明显优于解剖型钢板治疗组，跟骨锁定型钢板值得临床推广应用．
목적：대비근골적해부형강판여쇄정형강판재치료근골관절내골절적료효．방법67례근골관절내골절환자．수궤분위해부형강판조（n＝33）화쇄정형강판조（n＝34）．술후1주여6월，비교2조：（1） Bo.. hler각；（2） Gissane각；（3）근골장축장도；（4）근골관도；（5）근골구부고도；（6） Maryland족부평분등．결과술후1주，2조간적Maryland족부평분、근골장축장도、근골관도、Bo..hler각、Gissane각、근골관도화근골구부고도차이무통계학의의（＞0.05）；술후36주，2조간적Maryland족부평분、근골장축장도、근골관도、차이무통계학의의（＞0.05）；단Bo..hler각、Gissane각、근골적관도화근골적구부고도등지표상，차이유통계학의의（＜0.05）．결론술후6월수방중，쇄정형강판조주요해부측량지표명현우우해부형강판치료조，근골쇄정형강판치득림상추엄응용．
Objective To compare the curative effect of anatomical plate and locking plate in treatment of calcaneous intraarticular fracture. Methods 67 petiants with calcaneous intraarticular fracture were randomly divided into anatomical plate group (n=33) and locking plate group (n=34) . The Bo..hler angle, the Gissane angle, the length of calcaneal axis, the width and height of calcaneous and the Maryland grade were compared at 1 week and 6 month after operation. Results (1) week after operation, the Bo..hler angle, the Gissane angle, the height and width of calcaneous, the length of calcaneal axis, the Maryland grade had no significant difference between 2 groups . 6 months after operation, the Bo..hler angle, the Gissane angle, the height of calcaneous had significant differe nce between 2 groups. There was no significant difference in the length of calcaneal axis and the grade of Maryland between 2 groups. Conclusions The locking plate group is better than anatomical plate group in major anatomical measure indicators in 6 months follow up. The therapy of locking plate is worth of clinical promotion.