中国骨伤2017，Vol.30Issue(12)：1080-1083,4.DOI:10.3969/j.issn.1003-0034.2017.12.002
跗骨窦小切口撬拨复位克氏针内固定治疗Sanders Ⅲ型跟骨骨折
Percutaneous reduction and Kirschner pin fixation through sinus tarsi approach for the treatment of Sanders type Ⅲ calcaneal fracture
戴锋 1俞鹏飞 1姜宏1
作者信息
- 1. 南京中医药大学附属苏州市中医医院骨科,江苏苏州 215001
- 折叠
摘要
Abstract
Objective:To investigate clinical effect of percutaneous reduction and Kirschner pin fixation through sinus tarsi approach in treating Sanders type Ⅲ calcaneal fracture.Methods:Totally 22 patients (22 feet) with Sanders Ⅲ calcaneal fracture were treated with percutaneous reduction and Kirschner pin fixation through sinus tarsi approach form September 2013 to December 2015.Among them,including 18 males and 4 females;aged from 20 to 65 years old with an average of (41.73± 12.46) years old.B(o)hler angle,Gissane angle and calcaneal width before and after operation were observed and compared,Maryland scoring system was used to evaluate curative effect;postoperative complications were recorded.Results:All patients were followed up from 18 to 36 months with an average of (27.05±4.92) months.All fractures healed well with an average of (10.73±1.24) weeks.B(o)hler angle before operation (11.36±5.92) improved to (33.36±3.99) after operation,and had signifi cant differences(P＜0.05);there was significant difference of Gissane angle between preoperation (99.23±8.61) and postoperation (114.64±6.93);calcaneal width was improved from (46.59± 1.40) mm before operation to (42.15±0.75) mm at 3 months after operation (P＜0.05).Maryland score was (95.05±6.86) points,16 patients obtained excellent results,5 patients moder ate,and 1 patient poor.No inflammation,flap margin necrosis and osteomyelitis occurred.Conclusion:Compared with conventional internal fixation through L-shape incision,percutaneous reduction and Kirschner pin flxation through sinus tarsi ap proach in treating Sanders type Ⅲ calcaneal fracture obtained satisfied clinical effects,and has advantages of invasive trauma,simple operation,easy to remove and less complication.Meanwhile,careful operation and identification should be done during sinus tarsi approach operation to protect sural nerve and tendon.关键词
跟骨/骨折/骨折固定术,内Key words
Calcaneus/Fractures/Fracture fixation,internal引用本文复制引用
戴锋,俞鹏飞,姜宏..跗骨窦小切口撬拨复位克氏针内固定治疗Sanders Ⅲ型跟骨骨折[J].中国骨伤,2017,30(12):1080-1083,4.
