同种异体骨移植结合跟骨接骨板内固定治疗跟骨关节内骨折临床疗效分析
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摘要
目的探讨同种异体骨移植结合跟骨接骨板内固定在跟骨关节内骨折治疗中的效果。方法 78例跟骨关节内骨折患者为研究对象,对照组为跟骨接骨板内固定治,观察组为同种异体骨移植结合跟骨接骨板内固定。结果观察组与对照组在治疗后总有效率的对比差异显著(P<0.05)。结论同种异体骨移植结合跟骨接骨板内固定方法,能够降低治疗后并发症发生率,提高治疗效果,具有应用价值。
Objective To explore the effect of allograft bone graft combined with calcaneus plate internal fixation in the treatment of intra-articular calcaneal fractures. Methods 78 cases of intra-articular calcaneal fractures were selected as the research objects. The control group was treated by internal fixation with calcaneal plate, while the observation group was allogeneic bone graft combined with calcaneal plate fixation. Results There was a significant difference in the total effective rate between the observation group and the control group after treatment(P<0.05). Conclusion Allogeneic bone graft combined with internal fixation with calcaneal plate can reduce the incidence of postoperative complications and improve the therapeutic effect, which is of practical value.
Objective To explore the effect of allograft bone graft combined with calcaneus plate internal fixation in the treatment of intra-articular calcaneal fractures. Methods 78 cases of intra-articular calcaneal fractures were selected as the research objects. The control group was treated by internal fixation with calcaneal plate, while the observation group was allogeneic bone graft combined with calcaneal plate fixation. Results There was a significant difference in the total effective rate between the observation group and the control group after treatment(P<0.05). Conclusion Allogeneic bone graft combined with internal fixation with calcaneal plate can reduce the incidence of postoperative complications and improve the therapeutic effect, which is of practical value.
引文
[1]张述才,翟得平,马创,等.跗骨窦入路锁定钛板内固定治疗跟骨关节内骨折的疗效[J].中国骨与关节损伤杂志,2017,32(12):1275-1278.
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[9]袁光华,梅永珍,姚红军,等.锁定钛板内固定与空心钉内固定治疗跟骨关节内骨折疗效比较[J].骨科,2015,6(02):91-93.
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[11]马佳滨,韩克诚,冯伟,等.双侧小切口微型接骨板组合内固定治疗SandersⅢ型跟骨关节内骨折[J].临床医药文献电子杂志,2017,4(70):13691.
[12]陆小庆,陈晓钢,张林,等.闭合复位微创锁定接骨板内固定治疗跟骨骨折[J].中华临床医师杂志(电子版),2017,11(02):234-238.
[13]陈太邦,师继红,徐永清,等.同种异体骨移植结合跟骨接骨板内固定治疗跟骨关节内骨折临床疗效分析[J].创伤外科杂志,2016,18(02):82-84.
[14]Saurabh Jain.Outcome of open reduction and internal fixation of intraarticular calcaneal fracture fixed with locking calcaneal plate[J].Chinese Journal of Traumatology,2013,16(6).
[15]Yu Bin,Chen Wen-Chuan,Lee Pei-Yuan,et al.Biomechanical comparison of conventional and anatomical calcaneal plates for the treatment of intraarticular calcaneal fractures-a finite element study[J].Computer methods in biomechanics and biomedical engineering,2016,19(13).
[2]安志刚,赵君,高吉俊.切开复位根骨板内固定治疗跟骨关节内移位骨折的临床效果评价[J].中国农村卫生,2017,04(20):12-13.
[3]王炳海,郭静,王润生,等.切开复位根骨板内固定治疗跟骨关节内移位骨折的临床效果评价[J].中国农村卫生,2017,05(14):19.
[4]任朝伟.外侧入路切开复位内固定治疗跟骨关节内骨折的效果观察[J].河南医学研究,2017,26(10):1818-1819.
[5]王自刚,张伟亚,郑俊儒,等.跟骨锁定钛板结合同种异体骨移植治疗跟骨关节内骨折疗效分析[J].农垦医学,2017,39(02):133-136.
[6]顾鸿程,崔恒燕,李刚,等.切开复位钢板内固定治疗跟骨关节内骨折20例[J].甘肃中医药大学学报,2016,33(05):47-50.
[7]顾雪平,谢孝枫,王文晔,等.锁定钛板内固定与空心钉内固定治疗跟骨关节内骨折的疗效对比[J].齐齐哈尔医学院学报,2015,36(31):4691-4692.
[8]潘明芒,薛锋,柴雷子,等.内侧框架式外支架与钢板内固定治疗跟骨关节内骨折的比较[J].中国矫形外科杂志,2015,23(08):673-677.
[9]袁光华,梅永珍,姚红军,等.锁定钛板内固定与空心钉内固定治疗跟骨关节内骨折疗效比较[J].骨科,2015,6(02):91-93.
[10]张番,郑淑媛.微创锁定板内固定和切开复位内固定治疗跟骨关节内骨折效果分析[J].中国医学创新,2014,11(11):49-51.
[11]马佳滨,韩克诚,冯伟,等.双侧小切口微型接骨板组合内固定治疗SandersⅢ型跟骨关节内骨折[J].临床医药文献电子杂志,2017,4(70):13691.
[12]陆小庆,陈晓钢,张林,等.闭合复位微创锁定接骨板内固定治疗跟骨骨折[J].中华临床医师杂志(电子版),2017,11(02):234-238.
[13]陈太邦,师继红,徐永清,等.同种异体骨移植结合跟骨接骨板内固定治疗跟骨关节内骨折临床疗效分析[J].创伤外科杂志,2016,18(02):82-84.
[14]Saurabh Jain.Outcome of open reduction and internal fixation of intraarticular calcaneal fracture fixed with locking calcaneal plate[J].Chinese Journal of Traumatology,2013,16(6).
[15]Yu Bin,Chen Wen-Chuan,Lee Pei-Yuan,et al.Biomechanical comparison of conventional and anatomical calcaneal plates for the treatment of intraarticular calcaneal fractures-a finite element study[J].Computer methods in biomechanics and biomedical engineering,2016,19(13).