武红军, 郭永妹, 张坤. 外侧小切口空心螺钉治疗跟骨骨折25例分析[J]. 蚌埠医学院学报, 2010, 35(6): 587-588.
    引用本文: 武红军, 郭永妹, 张坤. 外侧小切口空心螺钉治疗跟骨骨折25例分析[J]. 蚌埠医学院学报, 2010, 35(6): 587-588.
    WU Hong-jun, GUO Yong-mei, ZHANG Kun. Hollow screw fixation with small incision for treatment of calcaneal fractures:a report of 25 cases[J]. Journal of Bengbu Medical College, 2010, 35(6): 587-588.
    Citation: WU Hong-jun, GUO Yong-mei, ZHANG Kun. Hollow screw fixation with small incision for treatment of calcaneal fractures:a report of 25 cases[J]. Journal of Bengbu Medical College, 2010, 35(6): 587-588.

    外侧小切口空心螺钉治疗跟骨骨折25例分析

    Hollow screw fixation with small incision for treatment of calcaneal fractures:a report of 25 cases

    • 摘要: 目的:探讨小切口切开复位空心螺钉内固定治疗跟骨骨折的疗效。方法:对25例跟骨关节内骨折采用跟骨外侧横型小切口(4~6 cm)空心螺钉内固定治疗,观察手术前后Blher's角及跟骨宽度的变化。结果:手术前后Blher's角及跟骨宽度变化差异均有统计学意义(P<0.01);切口一期愈合,无感染;随访4~24个月,Fernandez评分标准评定优16例,良7例,一般2例,优良率达92.0%。结论:小切口空心螺钉内固定治疗跟骨关节内骨折是一种创伤小、固定可靠、理想的手术方法。

       

      Abstract: Objective:To evaluate hollow screw fixation with small incision in treatment of calcaneal intra-articular fractures.Methods:Twenty-five feet with calcaneal fractures were fixed by hollow screws with small incisions (4-6 cm) at the lateral side of the calcaneu.The changes of Bölher's angles of the calcaneus and the width of the calcaneus were observed before and after the operation.Results:The Bölher's angles and the width of the calcaneus changed significantly before and after the operation (P<0.01);the incision of all the cases healed at one stage with no infection;the follow-up lasted from 4 to 24 months.The effect was evaluated by Fernandez score standard,and the results were excellent in 16 cases,good in 7 and fair in 2.The excellent and good rates reached 92.0%.Conclusions:The procedure of hollow screw fixation with limited open reduction is safe and effective for treatment of calcaneal intra-articular fractures.

       

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