临床骨科杂志2017，Vol.20Issue(2)：217-220,4.DOI:10.3969/j.issn.1008-0287.2017.02.035
跗骨窦切口联合空心钉治疗跟骨关节内骨折
Cannulated screw fixation for closed displaced intra-articular calcaneal fractures via sinus tarsi approach
李伟康 1周业金 1宁仁德 1胡星月1
作者信息
- 1. 安徽医科大学第三附属医院创伤骨科,安徽 合肥 230001
- 折叠
摘要
Abstract
Objective To investigate the clinical outcomes of closed displaced intra-articular calcaneal fractures (DIACFs) treated by cannulated screw fixation via sinus tarsi approach (STA).Methods Fifty-one patients with DIACFs were retrospectively enrolled and treated by using either STA with cannulated screw fixation (group A,29 cases) or traditional extended lateral approach with plate fixation (group B,22 cases).Patients underwent a careful clinical and radiographic examination and were 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 American Orthopedic Foot and Ankle Society (AOFAS) score criterion.Results Fifty-one patients were followed up, group A was 10~17(13.19±1.47) months, group B was 9~18(13.45±2.80) months.The B(o)hler angle, height and width of calcaneus at the last follow-up in both groups had obviously improved than those of preoperation(P<0.001), but there wasn′t statistically significant difference between two groups(P>0.05).The AOFAS scores of two groups had no statistically significant differences (P>0.05).The group A had less incidence of wound complications than group B(P<0.05).Conclusions The STA with cannulated screw fixation is a useful method for the treatment of DIACFs, with a low incidence of complications and results comparable to those for patients treated by using the extended lateral approach with cannulated screw fixation.关键词
跟骨骨折/跗骨窦/空心钉/钢板Key words
calcaneus fractures/sinus tarsi/cannulated screw/plate分类
医药卫生引用本文复制引用
李伟康,周业金,宁仁德,胡星月..跗骨窦切口联合空心钉治疗跟骨关节内骨折[J].临床骨科杂志,2017,20(2):217-220,4.
