CAJ | 학술논문

目的：探讨应用跟骨解剖板治疗波及跟距关节的跟骨骨折的临床价值。方法自2010年7月—2012年12月，应用跟骨解剖板治疗波及跟距关节的跟骨骨折患者28例，术中注意关节面、Bohler角和Gissane角的复位，同时采用跟骨解剖板及松质骨螺钉进行牢固固定。结果28例患者平均随诊23个月，患者主观症状满意率82.1%，足部外形优92.9%，足及踝关节活动优67.9%，Bohler角优85.7%。结论跟骨解剖板治疗波及跟距关节的跟骨骨折，固定牢固，允许术后早期功能锻炼，能最大限度减少骨折后的并发症，显著提高患者的生活质量。
목적：탐토응용근골해부판치료파급근거관절적근골골절적림상개치。방법자2010년7월—2012년12월，응용근골해부판치료파급근거관절적근골골절환자28례，술중주의관절면、Bohler각화Gissane각적복위，동시채용근골해부판급송질골라정진행뢰고고정。결과28례환자평균수진23개월，환자주관증상만의솔82.1%，족부외형우92.9%，족급과관절활동우67.9%，Bohler각우85.7%。결론근골해부판치료파급근거관절적근골골절，고정뢰고，윤허술후조기공능단련，능최대한도감소골절후적병발증，현저제고환자적생활질량。
Objective to evaluate the clinical value of applying calcaneus anatomy plate to treat intra-articular fractures of calcaneus.Methods From July 2010 to December 2012,we applied calcaneus anatomy plates to threat 28 cases of crumbled fracture of calcaneus. During operation , we paid attention to the reduction of articular face ,Bohler angle and critical angle ,and made secure internal fixation with calcaneus anatomy plate and cancellous bone screw. Results 28 cases were followed up for 23 months averagely. 82.1%of the patients were satisfactory with the subjective symptoms ,while the rate of excellent foot outline was 92.9%. The rate of excellent joint motion of foot and ankle was 67.9%, and the rate of excellent Bohler angle was 85.7%. The overall excellent and good rate was 92.6%.Conclusion Calcaneus anatomy plate on intra-articular fractures of calcaneus can acquire secure internal fixation ,and permit patient to exercise earlier after operation ,and can greatly decrease complications of calcaneus fracture and enhance the patients' quality of live.