关节内跟骨骨折内固定治疗与并发症
骨折固定,,跟骨;骨折固定;并发症,1资料与方法,2结果,3讨论,参考文献:
摘 要:[目的]提高钢板内固定治疗关节内跟骨骨折的手术疗效、减少手术并发症。[方法]对跟骨骨折行切开复位钢板内固定治疗的51例患者进行随访,并对出现的并发症进行回顾性分析。[结果]51例56足中,47足骨折愈合优良,6足术后发生复位不佳、畸形愈合、切口延迟愈合、感染等并发症,发生率为11.7%。[结论]切开复位钢板内固定可作为治疗波及距下关节跟骨骨折的主要方法,术中注意操作细节、解剖复位可以减少并发症。关键词:跟骨;骨折固定;并发症
The treatment of intraarticular calcaneal fractures with interal fixation and the following complications
PAN Yongtai, XU Shijian, ZHENG Wenzhong, et al.
The first Department of Orthopeadics, 180 Hospital of PLA, Quanzhou 362000,China. Zhangqiulin,Wangqiugen. Department of Orthopeadics, Changhai hospital, Second Military Medical University, Shanghai 200433
Abstract:[Objective]To study how to decrease the complications and improve efficacy of the open reduction and internal fixation(ORIF) with plate for intraarticular calcaneal fractures.[Method]Fiftyone patients(56 feet),treated with ORIF, were followed up for 6 to 36 months, and the associated complications were analyzed retrospectively.[Result]Complications were found in 6 cases, including postoperative wound dehiscence in 2(infection in 1), malunion(failure to achieve reduction ) in 4.The percentage of complication was 11.7%.[Conclusion]ORIF with plate could be the main treatment for intraarticular calcaneal fractures. Should attention be paid to the detail skill and anatomical reduction, many complications could be avoided. ......
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