CAJ | 학술논문

目的：分析切开复位联合锁定板内固定疗法在治疗临床跟骨关节内移位性骨折患者中的应用及其价值。方法随机抽取该院在2012年7月-2013年11月收治的50例跟骨内移位骨折患者作为该次研究观察对象，对所有患者行改良之后的跟骨外侧扩大“L”型切口进行骨折复位，进而用跟骨锁定板进行固定处理，并分析其治疗效果。结果术后，所有患者的Bohler角与Gissane角较术前相比，均有所恢复(P<0.05)，无明显疼痛，且所有患者均获得了3~36个月的随访，并对术后关节功能评分，有28例为优，15例为良，优良率为94%。结论对于临床上跟骨关节内出现移位型骨折的患者，在对其行切开复位之后再利用跟骨锁定板进行内固定，可取得较明显治疗效果，且手术时机的把握与切口的无创操作也是提高治疗效果的关键所在。
목적：분석절개복위연합쇄정판내고정요법재치료림상근골관절내이위성골절환자중적응용급기개치。방법수궤추취해원재2012년7월-2013년11월수치적50례근골내이위골절환자작위해차연구관찰대상，대소유환자행개량지후적근골외측확대“L”형절구진행골절복위，진이용근골쇄정판진행고정처리，병분석기치료효과。결과술후，소유환자적Bohler각여Gissane각교술전상비，균유소회복(P<0.05)，무명현동통，차소유환자균획득료3~36개월적수방，병대술후관절공능평분，유28례위우，15례위량，우량솔위94%。결론대우림상상근골관절내출현이위형골절적환자，재대기행절개복위지후재이용근골쇄정판진행내고정，가취득교명현치료효과，차수술시궤적파악여절구적무창조작야시제고치료효과적관건소재。
Objective To analyze the application and value of open reduction and locking plate fixation in the treatment of patients with displaced intra-articular calcaneal fractures. Methods 50 patients with displaced intra-articular calcaneal fracture admitted to our hospital between July 2012 and November 2013 were selected as the research objects. All of them were given fracture re-duction through a L-shaped lateral modified incision and locking plate fixation. Therapeutic effects of them were analyzed. Results Surgery, bohler angle in all patients with gissane angle compared with the preoperative compared to both the recovery (P<0.05), no significant pain, and all patients received 3 to 36 months of follow-up, and postoperative joint functional scores, there are 28 cases of excellent, 15 cases of benign and good rate was 94%. Conclusion For patients with displaced intra-articular calcaneal fractures, open reduction and locking plate fixation has obvious therapeutic effect, in which timing of surgery and non-invasive incision op-eration are key factors.