局解手术学杂志2017，Vol.26Issue(4)：256-259,4.DOI:10.11659/jjssx.09E016065
"八"字微创入路内固定治疗跟骨骨折疗效观察
Curative effect observation of minimally invasive incision combined with plate fixation for calcaneal fractures
摘要
Abstract
Objective To analyze the curative effect of minimally invasive incision combined with plate fixation for calcaneal fractures.Methods Retrospectively analyzed the clinical data of 30 cases(30 feet) of calcaneal fractures who were treated with minimal incision(sinus tarsi approach combined with posterior lateral incision) from August 2014 to August 2015.Minimally invasive incision combined with plate fixation were performed for the treatment.X-rays were taken in the regular follow-up,B(o)hler and Gissane angle as well as the complications were measured.The final curative effect was comprehensively assessed according to the ankle hind foot score of American Aryhopaedic Foot and Ankle Society(AOFAS).Results All cases were followed up for an average of 14.5 months (from 12 to 16 months), and all fractures healed with no complication such as incision infection or poor healing.The average B(o)hler angle was improved from preoperative(13.42°±4.2°) to (29.3°±3.8°) at the last follow-up with a significant difference(t=-20.424,P=0.000),and the average Gissane angle was significantly improved from preoperative(97.8°±9.7°) to (123.6°±6.5°) at the last follow-up (t=-17.5,P=0.000).The outcomes were evaluated with AOFAS,resulting in an excellent and good rate of 83.3%.Conclusion Treatment of calcaneal fractures with minimal incision has the advantages of less trauma,lower incision complication rate,stronger reduction and fixation,which can achieve satisfactory outcomes.关键词
小切口/内固定/微创治疗/跟骨骨折/手术入路Key words
minimal incision/internal fixation/minimally invasive/calcaneus fractures/surgical approach分类
医药卫生引用本文复制引用
马骏,何斌,姜曙祥,王强,田锋,盛福卫.."八"字微创入路内固定治疗跟骨骨折疗效观察[J].局解手术学杂志,2017,26(4):256-259,4.基金项目
八师石河子市科技计划项目(2016HZ23) （2016HZ23）
