CAJ | 학술논문

目的探讨切开复位内固定治疗跟骨结节内侧突骨折的疗效. 方法 2010年1月至2012年1月采用手术治疗跟骨结节内侧突骨折患者12例(13侧),男10例,女2例;年龄20 ～ 39岁,平均30.5岁.均采用切开复位单纯半螺纹螺钉固定(8侧)或微型钢板固定(5侧). 结果 10例患者(11侧足)术后获12 ～ 24个月(平均14个月)随访.所有患者均一期愈合.骨折愈合时间为8～13周(平均11周).无骨折不愈合及内固定物松动、断裂等并发症出现.患者术后9～14周(平均12周)可完全负重行走,无明显疼痛不适.末次随访时美国足踝外科协会的踝-后足评分为84 ～100分,平均90.4分. 结论跟骨结节内侧突骨折的解剖复位和确切固定是维持足跟正常形态、恢复足跟负重重心和足弓功能的关键.需根据骨折移位的具体情况,选择合适的治疗方法,以提高临床疗效.
목적 탐토절개복위내고정치료근골결절내측돌골절적료효. 방법 2010년1월지2012년1월채용수술치료근골결절내측돌골절환자12례(13측),남10례,녀2례;년령20 ～ 39세,평균30.5세.균채용절개복위단순반라문라정고정(8측)혹미형강판고정(5측). 결과 10례환자(11측족)술후획12 ～ 24개월(평균14개월)수방.소유환자균일기유합.골절유합시간위8～13주(평균11주).무골절불유합급내고정물송동、단렬등병발증출현.환자술후9～14주(평균12주)가완전부중행주,무명현동통불괄.말차수방시미국족과외과협회적과-후족평분위84 ～100분,평균90.4분. 결론 근골결절내측돌골절적해부복위화학절고정시유지족근정상형태、회복족근부중중심화족궁공능적관건.수근거골절이위적구체정황,선택합괄적치료방법,이제고림상료효.
Objective To investigate the therapeutic outcomes of open reduction and internal fixation for fractures of the medial process of calcaneal tuberosity.Methods From January 2010 to January 2012,12 patients with fracture of the medial process of calcaneal tuberosity at 13 sides were treated by our department.They were 10 males and 2 females,with an average age of 30.5 years (range,20 to 39 years).One of the male patients suffered from bilateral fractures of the medial process of calcaneal tuberosity.The surgical treatments included open reduction,internal fixation by mini-plate or screws.In our cases,isolate screw fixation was used in 8 fractures,and mini-plate fixation was used in 5 fractures.Results Ten patients with 11 fractures were followed up for 14 months on average (range,12 to 24 months).All the cases healed uneventfully.No infection or fixation failure was found.The mean time of bone union was 11 weeks (range,8 to 13 weeks).Full weight bearing was achieved in a mean time of 12 weeks (range,9 to 14 weeks) with no obvious pain or discomfort.According to the American Orthopaedic Foot and Ankle Society ankle-hindfoot scale,the mean score was 90.4 (range,84 to 100) at the final follow-up.Conclusions In the treatment of fractures of the medial process of calcaneal tuberosity,anatomic reduction and stable internal fixation is the key to recovery of the calcaneal morphology and normal gait.A suitable therapeutic strategy based on the fracture pattern can benefit the clinical outcomes.