临床骨科杂志2024，Vol.27Issue(2)：280-283,4.DOI:10.3969/j.issn.1008-0287.2024.02.039
踝关节镜辅助下经跗骨窦入路内固定治疗Sanders Ⅱ、Ⅲ型跟骨骨折
Ankle arthroscopy-assisted internal fixation treatment of Sanders tppe Ⅱ,Ⅲ calcaneal frac-tures with transtarsal sinus approach
张永明 1王晓 1陈建良 1叶锋 1姚光校 1李英周1
作者信息
- 1. 绍兴市上虞区中医医院骨伤科,浙江 绍兴 312300
- 折叠
摘要
Abstract
Objective To investigate the effect of transtarsal sinus approach internal fixation assisted by ankle arthros-copy on Sanders tppeⅡ,Ⅲcalcaneal fractures.Methods The 23 patients with calcaneal fractures were treated with transtarsal sinus approach internal fixation assisted by ankle arthroscopy.Fracture healing,Böhler angle,Gissane an-gle,calcaneal height and width,ankle motion range and postoperative complications were recorded.AOFAS ankle-hindfoot score was used to evaluate the ankle function.Results All patients were followed up for 10～16 months.All incisions healed in one-stage,without skin infection,necrosis and nonunion.At 10～12 weeks postoperation,all frac-ture lines were blurred,callus formed and fracture healing were obtained.Böhler angles,Gissane angles,calcaneal height and width were improved at postoperative 6 months,compared with the preoperation(P<0.05).At the last fol-low-up,all patients could walk completely and their gaits were normal.Dorsiflexion of ankle joint was 15°～25°,plan-tar flexion was 30°～45°;AOFAS ankle-hindfoot score was used to evaluate the function:excellent 17 cases,good 5 cases,fair 1 case,with an excellent-good rate of 22/23.Conclusions Ankle arthroscopy-assisted internal fixation treatment of Sanders type Ⅱ,Ⅲ calcaneal fractures with transtarsal sinus approach has accurate fracture reduction,with fewer intraoperative fluoroscopy and less trauma,satisfactory recovery of postoperative foot function and lower in-cidence rate of complications.关键词
踝关节镜检查/跗骨窦入路/跟骨骨折Key words
ankle arthroscopy/transtarsal sinus approach/calcaneal fractures分类
医药卫生引用本文复制引用
张永明,王晓,陈建良,叶锋,姚光校,李英周..踝关节镜辅助下经跗骨窦入路内固定治疗Sanders Ⅱ、Ⅲ型跟骨骨折[J].临床骨科杂志,2024,27(2):280-283,4.
