临床骨科杂志2011，Vol.14Issue(1)：62-64,3.
钢板内固定治疗跟骨关节内骨折
Plate internal fixation in the treatment of intraarticular calcaneal fractures
谭祐光 1彭继红 1黄建凯 1余海浪 1庹秀均 1纪科伟1
作者信息
- 1. 佛山市南海区第二人民医院骨科,广东,佛山,528251
- 折叠
摘要
Abstract
Objective To study the clinical outcome of plate internal fixation in the treatment of intraarticular calcaneal fractures.Methods 23 cases( 26 feet )with intraarticular calcaneal fracture were treated with open reduction and reconstruction plate internal fixation, of which 9 feet were combined with autogenous iliac bone grafting.B(o)rder's angle and the bone healing process were monitored by radiography before and after operation.The postoperative complications were observed and cured.Results 23 cases( 26 feet )were followed up 6 ～ 18 ( 10.2 ± 2.4 )months.26 feet were got union.The B(o)rder's angle was recovered from - 8.5° ～ 19°( 8° ± 10.4° ) to 15° ～40°( 32.6° ±7.5° ).According to Maryland score,the results were excellent in 8 feet,good in 13 ,fair in 4,and poor in 1.The early postoperative complication were 4 cases necrosis of the skin incision margin,and 3 cases of wound drainage, which have been treated and healed.No cases got sural nerve injury.The long term complication was post-traumatic osteoarthritis of posterior subtalar joint in 1 cases.Conclusions In treating calcaneal fractures with subtalar joint involved, with the suitable timing and plate internal fixation to restore the normal mechanical relation of the calcaneus, the outcome will be satisfied.关键词
跟骨骨折/骨折固定术,内分类
医药卫生引用本文复制引用
谭祐光,彭继红,黄建凯,余海浪,庹秀均,纪科伟..钢板内固定治疗跟骨关节内骨折[J].临床骨科杂志,2011,14(1):62-64,3.
