CAJ | 학술논문

目的观察撬拨复位外固定支架+关节镜下跟骨关节面撬拨整复(植骨)克氏针简单内固定治疗跟骨粉碎性骨折的临床疗效,探讨该方法治疗跟骨粉碎性骨折的优点和不足.方法对41例(46足)跟骨粉碎性骨折病人接受撬拨复位外固定支架+关节镜下跟骨关节面撬拨整复(或植骨)克氏针简单内固定治疗跟骨粉碎性骨折.结果术后其疗效按Maryland足部评分标准,优31足,良11足,可4足,优良率90.1%.结论利撬拨复位外固定支架+关节镜下跟骨关节面撬拨整复(植骨)克氏针简单内固定治疗跟骨粉碎性骨折疗效满意,有手术创伤小、并发症少,不破坏骨折血运,对骨折愈合影响小,跟骨关节面复位理想等优点,且对伴有软组织损伤需多次手术治疗的患者更适合该方法.
목적관찰효발복위외고정지가+관절경하근골관절면효발정복(식골)극씨침간단내고정치료근골분쇄성골절적림상료효,탐토해방법치료근골분쇄성골절적우점화불족.방법대41례(46족)근골분쇄성골절병인접수효발복위외고정지가+관절경하근골관절면효발정복(혹식골)극씨침간단내고정치료근골분쇄성골절.결과술후기료효안Maryland족부평분표준,우31족,량11족,가4족,우량솔90.1%.결론리효발복위외고정지가+관절경하근골관절면효발정복(식골)극씨침간단내고정치료근골분쇄성골절료효만의,유수술창상소、병발증소,불파배골절혈운,대골절유합영향소,근골관절면복위이상등우점,차대반유연조직손상수다차수술치료적환자경괄합해방법.
@@@@Objective To estimate the clinical efficacy of prying reduction and external fixation support+joint surface with mandibular reconstruction under arthroscopy (or bone graft) simple gram needle fixation on calcaneus comminuted fracture, and to explore the treatment's advantages and disadvantages. Methods 41 cases (46 feet) with bone comminuted fracture patients were treated by prying reduction and external fixation support+joint surface with mandibular reconstruc-tion under arthroscopy (or bone graft) simple gram needle fixation. Results According to the Maryland foot rating Score, excellent in 31 feet, good in 11, fair in 4, and the excellent and good rate was 90.1%. Conclusion The treatment on calcaneus comminuted fracture has the advantages of curative effect with small surgical trauma, fewer complications, does not destroy the blood supply, joint surface reduct well, and it is more suitable choice for the calcaneus fracture patients accompanying with soft tissue injuries needing several operations.