涉及跟距关节的跟骨骨折治疗
【中图分类号】R274.1【文献标识码】B【文章编号】1672-5085(2008)02-0087-02【摘要】目的：探讨波及距下关节面的跟骨骨折切开复位植骨AO跟骨钢板内固定治疗的临床意义。方法：自2002年4月~2006年10月间，我院共收治波及距下关节面的跟骨骨折46例，19例单纯行斯氏针撬拨治疗，27例给予切开复位AO跟骨钢板内固定治疗，术后随访1~2年。结果：单纯斯氏针撬拨复位组优良率73.7%，手术植骨AO钢板组优良率88.9%。两组间有显著性差异。结论：对于严重的波及距下关节面的跟骨骨折，尤其是跟骨压缩型骨折，应采用切开复位植骨AO钢板内固定治疗。
【关键词】跟骨骨折；撬拨；切开复位；钢板内固定
Involves with is apart from the joint calcaneus the bone fracture treatment Jiang Changjie
【Abstract】Objective:The discussion affects is apart from arthrosis surface calcaneus the bone fracture incision replacement to plant in the bone AO calcaneus steel plate the fixed treatment clinical significance. Method:From April, 2002~2006 year in October,my courtyard altogether admits affects is apart from arthrosis surface calcaneus the bone fracture 46 examples, 19 examples pure line of Si needle skid dials the treatment, 27 examples give the incision to reposition in the AO calcaneus steel plate the fixed treatment, after the technique make a follow-up visit the 1~2 year. Result：The pure Si needle skid dials the duplicate byte fine rate 73.7%, the surgery plants the bone AO steel plate group to be fine rate 88.9%. During two groups has significance the difference. Conclusion: Regarding serious affects is apart fromarthrosis surface calcaneus the bone fracture,calcaneus the compression bone fracture, should use the incision replacement in particular to plant in the bone AO steel plate the fixed treatment. ......
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