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跟骨关节内骨折的损伤机制和手术治疗 |
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【摘要】 目的 探讨波及距下关节的跟骨关节内骨折的损伤机制和手术治疗。方法 38 例(44足)跟骨骨折，按Sanders分型：Ⅱ型16足，Ⅲ型26足，Ⅳ型2足，采用跟骨外侧L形延长切口切开复位、钢板内固定治疗。结果 本组随访8～18个月，平均12个月。所有患者末次随访时骨折均愈合，术后完全负重时间3～6个月，平均4个月。术后按AOFAS踝与后足功能评分标准，总评分51～100分，平均83.7分，优12足，良23足，可7足，差2足，优良率79.5％。结论 跟骨关节内骨折行切开复位、钢板内固定治疗的疗效优良，充分认识骨折的损伤机制是手术成功的基础。
【关键词】 跟骨 关节内骨折 切开复位内固定
The Injury Mechanism and Operative Treatment of IntraArticular Fracture of Calcaneus
ZOU Hong，WANG Hui，WANG Jiahong，PENG Yuanli
(Department of Orthopedics，Mianyang Orthopaedics Hospital，Mianyang 621000，China)
Abstract：Objective To explore the injury mechanism and operative treatment of intraarticular fracture of calcaneus.Methods Thirtyeight patients with fortyfour fracture of calcaneus were treated with open reduction of LType of lateral wall of calcaneus and internalfixation of the steel plate.Among them，16 cases were fractures of SandersⅡ，26 cases of Sanders Ⅲ，2 cases of Sanders Ⅳ.All cases′ fracture healing looked good at their last followup time.The time for completely loading on bone was 3～6 months (average，4 months) postoperation.Results All patients were followed up from 8 to 18 months (average，12 months)，and the clinical results were evaluated by AOFAS Foot Score.The total score was 51～100 points (average，83.7 poin[1] [2] [3] [4] [5] [6] 下一页
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