CAJ | 학술논문

目的观察撬拨复位外固定支架固定治疗跟骨骨折的临床疗效.方法本组自2009年6月-2011年12月,共27例(31足)跟骨骨折病人行撬拨复位外固定支架固定治疗 sanders分型：I型7例(7足),I型16例(20足),I I型4例(4足)其中合并足部软组织撕脱伤2例(2足).对所有病例随访,随访时间10-18个月,平均13个月.结果术后其疗效按Maryland足部评分标准,优10足,良15足,可6足,优良率80.6%.讨论利用撬拨复位外固定支架固定治疗跟骨骨折疗效满意,有手术创伤小,并发症少,不破坏骨折血运,对骨折愈合影响小等优点.
목적관찰효발복위외고정지가고정치료근골골절적림상료효.방법본조자2009년6월-2011년12월,공27례(31족)근골골절병인행효발복위외고정지가고정치료 sanders분형：I형7례(7족),I형16례(20족),I I형4례(4족)기중합병족부연조직시탈상2례(2족).대소유병례수방,수방시간10-18개월,평균13개월.결과술후기료효안Maryland족부평분표준,우10족,량15족,가6족,우량솔80.6%.토론이용효발복위외고정지가고정치료근골골절료효만의,유수술창상소,병발증소,불파배골절혈운,대골절유합영향소등우점.
Objective :To retrospectively analyze the rapeutic effect of percutaneous reduction by leverage and external fixators in the treatment of calcis fracture. Methods: A total of 27 patients (31 feet) with calcaneal fractures were treated by percutaneous reduction by leverage and external fixators since June 2009 to December 2011. Injuries were classified according to the Sanders system. There were 7 type I cases (7 feet), 16 type II cases (20 feet) and 4type III cases (4feet). Merger of foot avulsed injury of soft tissue in 2 cases(2 feet) .Results:All ofthese patients were followed a minimum of 10 months ( mean ,13 months; range, 10~18 months).Postoperative its curative effect according to Maryland foot rating criteria,Optimal 10 feet,Good 15 feet,Fair 6 feet.The Optima land Good rate is 80.6%.Conclusion: The curative effect of percutaneousreduction by leverage and external fixation on calcaneal fractures was satisfactory. Several advantages such as small surgical trauma, less complications, without destroying the fracture blood supply and little influence on fracture healing were ob-served. And it also benefited multiple surgical operations for the patients with soft tissue injuries.