临床与病理杂志2017，Vol.37Issue(2)：277-281,5.DOI:10.3978/j.issn.2095-6959.2017.02.010
跗骨窦入路联合微型锁定钢板结合排钉技术治疗跟骨关节内骨折
Fixation with a mini-locking plate via mini-open sinus tarsi approach for closed displaced intra-articular calcaneal fractures
李伟康 1周业金 1胡星月1
作者信息
- 1. 安徽医科大学第三附属医院骨科,合肥230001
- 折叠
摘要
Abstract
Objective:To evaluate the fixation with a mini-locking plate via the mini-open sinus tarsi approach for intraarticular calcaneal fractures.Methods:Sixty-three patients with closed calcaneal fracture were treated with mini-locking plate via the mini-open sinus tarsi approach from October 2013 to December 2015.Patients were underwent a careful clinical and radiographic examination and evaluated with the B(o)hler angle,height and width of calcaneus before operation and at the last follow-up.The final curative effect was assessed according to the Maryland foot score.Results:All the patients were followed up for 10 to 24 months (mean,18.7 months).The width of the calcaneus has restored to (37.04±5.83) mm at the last follow-up,while the width was (39.75±5.58) mm before the surgery.The heel bone height of the calcaneus has restored to (41.46±5.68) mm at the last follow-up,while the height is (38.75±5.38) mm before the surgery.The B6hler angle of the calcaneus has restored to 30.6°±4.64° at the last follow-up,while the height is 11.07°±13.39° before the surgery.There was significant difference of B(o)hler angle,height and width of calcaneus (P＜0.05).According to Maryland foot score system,an excellent and good outcome of 87.3％ was achieved,which the excellent,good and pass number of feet are 23,32,8.The complication formation rate is 9.5％.Conclusion:Sinus tarsi approach with a mini-locking plate technique is an effective method for the treatment of calcaneal fractures.It has the advantages of limit soft tissue complications,stable fixation,and early ambulation.关键词
跟骨骨折/跗骨窦切口/微型钢板Key words
calcaneus fractures/sinus tarsi approach/mini-locking plate fixation引用本文复制引用
李伟康,周业金,胡星月..跗骨窦入路联合微型锁定钢板结合排钉技术治疗跟骨关节内骨折[J].临床与病理杂志,2017,37(2):277-281,5.
