CAJ | 학술논문

目的：分析足舟状骨体部骨折手术治疗的临床效果。方法对2008年3月至2014年6月解放军第404医院骨二科收治的13例足舟状骨体部骨折的临床资料进行回顾性分析。男10例，女3例，年龄25～59岁，平均36.5岁。舟状骨骨折按照Sangeorzan分型：Ⅱ型11例，Ⅲ型2例。13例患者均在伤后4 h～12 d（平均6.5 d）内行切开复位内固定术。结果13例患者术后获得3～72个月随访，平均23个月。采用Maryland评分标准评定疗效：优4例，良6例，可2例，差1例，优良率为76.9%。结论足舟状骨体部骨折发病率较低，选择正确的治疗方案、早期功能锻炼、晚期负重行走，可以大大降低此类骨折的致残率。
목적：분석족주상골체부골절수술치료적림상효과。방법대2008년3월지2014년6월해방군제404의원골이과수치적13례족주상골체부골절적림상자료진행회고성분석。남10례，녀3례，년령25～59세，평균36.5세。주상골골절안조Sangeorzan분형：Ⅱ형11례，Ⅲ형2례。13례환자균재상후4 h～12 d（평균6.5 d）내행절개복위내고정술。결과13례환자술후획득3～72개월수방，평균23개월。채용Maryland평분표준평정료효：우4례，량6례，가2례，차1례，우량솔위76.9%。결론족주상골체부골절발병솔교저，선택정학적치료방안、조기공능단련、만기부중행주，가이대대강저차류골절적치잔솔。
Objective To evaluate clinical effect of surgery in treatment of navicular bone. Methods 13 cases(10 men, 3 women)of 25~59 years old(average 36. 5)with fracture of navicular bone were admitted from March 2008 to June 2014. According to Sangeorzan type,there were 11 typeⅡcases,and 2 typeⅢcases. All the patients underwent open reduction and internal fixation 4 h~12 d(average 6. 5 d)after injury. Results The patients obtained follow-up of 3~72 months(average 23months). The effect was evaluated based on Maryland scoring system. There were 4 excellent cases,6 good cases,2 fair ca-ses,and 1 poor case. 76. 9% of the patients recovered satisfactorily. Conclusion Rational management,early exercise,and late loaded walking considerably decrease the disability caused by fracture of navicular bone.