经跗骨窦微创切开复位联合结合型跟骨解剖板内固定治疗跟骨SandersⅡ、Ⅲ型骨折
摘要
目的探讨经跗骨窦微创切开复位结合型跟骨解剖板固定治疗跟骨SandersⅡ、Ⅲ型骨折的临床疗效。方法回顾性分析自2015-07—2017-07收治的跟骨SandersⅡ、Ⅲ型骨折33例,记录手术时间、术后切口一期愈合率、骨折愈合时间,对比术前、术后、术后12个月Bohler及Gissane角,根据AOFAS踝-后足评分系统评价术前、术后12个月的功能。结果手术时间(98.48±21.23)min,术后切口一期愈合率100%,骨折愈合时间(5.18±1.91)个月。术后、术后12个月Bohler及Gissane较术前均显著改善,差异有统计学意义(P <0.05),而术后12个月与术后的测量结果比较,差异无统计学意义(P>0.05);术后AOFAS评分较术前明显改善,优良率达90.91%(P <0.05)。结论经跗骨窦切口联合结合型跟骨解剖板内固定术治疗SandersⅡ、Ⅲ型跟骨骨折,创伤小、切口不良率低、复位理想、固定可靠,临床效果满意。
引文
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[2]刘新成,陈雁西,俞光荣.手术治疗跟骨骨折并发症的Meta分析[J].中华创伤杂志,2010,26(2):109-113.
[3]Atmaca H,Memisoglu K,Baran T,et al.Treatment of calcaneal fractures with closed reduction and the Endobutton-assisted technique:short-term analysis[J].J Am Podiatr Med Assoc,2015,105(1):33-41.
[4]Kitaoka HB,Alexander IJ,Adelaar RS,et al.Clinical rating systems for the ankle-hindfoot,midfoot,hallux,and lesser toes[J].Foot Ankle Int,1997,18(3):187-188.
[5]Veltman ES,Doornberg JN,Stufkens SA,et al.Long-term outcomes of 1730 calcaneal fractures:systematic review of the literature[J].JFoot Ankle Surg,2013,52(4):486-490.
[6]Yao H,Liang T,Xu Y,et al.Sinus tarsi approach versus extensile lateral approach for displaced intra-articular calcaneal fracture:a meta-analysis of current evidence base[J].J Orthop Surg Res,2017,12(1):43.
[7]余斌,刘德印,杜晓龙,等.跗骨窦入路结合空心螺钉固定植骨治疗SandersⅡ、Ⅲ型跟骨骨折[J].临床骨科杂志,2017,20(6):746-749.
[8]李来峰,王辉,赵仪云,等.跗骨窦切口联合经皮置钉技术微创治疗SandersⅢ型跟骨骨折[J].中国矫形外科杂志,2015,23(20):1850-1853.
[9]黎志超,薛勇.跗骨窦切口微创切开复位内固定治疗Sanders IV型跟骨骨折[J].中国骨与关节损伤杂志,2017,32(10):1104-1105.
[10]Tantavisut S,Phisitkul P,Westerlind BO,et al.Percutaneous reduction and screw fixation of displaced intra-articular fractures of the calcaneus[J].Foot Ankle Int,2017,38(4):367-374.