CAJ | 학술논문

目的：探讨影响钢板内固定治疗跟骨关节内骨折患者预后的危险因素。方法选取2009年6月-2013年6月在该院接受钢板内固定治疗跟骨关节内骨折的患者90例。根据相关资料，对可能影响钢板内固定治疗跟骨关节内骨折患者预后的危险因素进行单因素方差分析和多因素Logistic回归分析，从而找出影响预后的危险因素。结果单因素分析结果表明，钢板内固定治疗跟骨关节内骨折术后疗效与体重、Sanders骨折分型、关节面塌陷程度和Bohler角四因素有关，而与性别、年龄、吸烟、手术时机和Gissane角无关。多因素分析结果表明，Sanders骨折分型、关节面塌陷程度和Bohler角三因素是钢板内固定治疗跟骨关节内骨折术后疗效的独立危险因素。结论影响钢板内固定治疗跟骨关节内骨折术后效果的危险因素主要有Sanders骨折分型、跟骨关节面塌陷程度和Bohler角，它们可作为判断跟骨关节内骨折预后的重要指标。
목적：탐토영향강판내고정치료근골관절내골절환자예후적위험인소。방법선취2009년6월-2013년6월재해원접수강판내고정치료근골관절내골절적환자90례。근거상관자료，대가능영향강판내고정치료근골관절내골절환자예후적위험인소진행단인소방차분석화다인소Logistic회귀분석，종이조출영향예후적위험인소。결과단인소분석결과표명，강판내고정치료근골관절내골절술후료효여체중、Sanders골절분형、관절면탑함정도화Bohler각사인소유관，이여성별、년령、흡연、수술시궤화Gissane각무관。다인소분석결과표명，Sanders골절분형、관절면탑함정도화Bohler각삼인소시강판내고정치료근골관절내골절술후료효적독립위험인소。결론영향강판내고정치료근골관절내골절술후효과적위험인소주요유Sanders골절분형、근골관절면탑함정도화Bohler각，타문가작위판단근골관절내골절예후적중요지표。
Objective To explore the risk factors for prognosis of calcaneal intraarticular fracture treated by internal fixation with steel plate.Methods Ninety cases of patients with calcaneal intraarticular fracture treated by internal fixation with steel plate in Wanbei General Hospital of Coal-electricity Group between June 2009 and June 2013 were selected.According to the relevant information of pa-tients,the possible risk factors were analyzed by the methods of both univariate analysis and multivariate analysis.Results Univariate analysis showed that the prognosis was related to weight,the Sanders Fracture classification,the distance of articular surface collapsing, and the Bohler angle,while not related with sex,age,smoking,time of operation,and Gissane angle.Multivariate analysis showed that 3 factors were independent risk factors,including the Sanders fracture classification,the distance of articular surface collapsing,and the Bohler angle.Conclusions The Sanders fracture classification,the distance of articular surface collapsing,and the Bohler angle are in-dependent risk factors for prognosis of calcaneal intraarticular fracture treated by internal fixation with steel plate,which can be impor-tant indicators of the prognosis.