浙江医学Issue(1)：19-22,4.
小切口微型锁定钢板与传统切口钢板内固定治疗跟骨关节内骨折的对照研究
Comparison of small incision mini locking plate fixation with traditional incision plate internal fixation in treatment of intra-articular calcaneal fracture
摘要
Abstract
Objective To compare smal incision mini locking plate fixation with traditional incision plate internal fixation in treatment of intra- articular calcaneal fracture. Methods Thirty eight patients with intra- articular calcaneal fracture were treated with two different approaches. Twenty patients received smal incision mini locking plate fixation (group A), including 14 cases with type II, 4 type III and 2 type IV according to Sanders classification;18 patients received traditional L shaped incision plate fixation(group B), including 9 cases with type II, 6 type III and 3 type IV. The operation time, incision length, length of hospital stay, VAS score at d1 after operation, postoperative wound healing, cases of bone graft, bleeding volume, CT findings at last fol ow- up and foot function at 6 month after operation evaluated by USA Ankle Surgery Association (AOFAS) ankle hindfoot score were compared between two groups. Results Patients were fol owed up for average 10.3m (6~15m). The operation time, incision length, wound complications and VSA pain scores at postoperative d1 in group A were al less than those in group B (P<0.05 or 0.01);meanwhile there were no significant differences in number of cases of bone grafting, postoperative CT findings and AOFAS ankle hindfoot scores between two groups (P>0.05). Conclusion Compared to traditional L shaped operation posterior internal fixation, the smal incision and mini locking plate fixation has smal er incision, less trauma, shorter operation time, shorter length of hospital stay, less incision complications and better curative effect for patients with calcaneal fractures.关键词
跟骨/骨折/内固定Key words
Calcaneus/Fracture/Internal fixation引用本文复制引用
祝海炳,李哲民,施忠民,薛剑锋,王庆丰,武理国..小切口微型锁定钢板与传统切口钢板内固定治疗跟骨关节内骨折的对照研究[J].浙江医学,2014,(1):19-22,4.基金项目
舟山市科技局科技项目 （）
