HoffmannⅡ外固定支架治疗Ⅱ、Ⅲ度开放性跟骨骨折
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摘要
目的:探讨应用HoffmannⅡ外固定支架治疗Ⅱ、Ⅲ度开放性跟骨骨折的方法及其疗效。方法:对17例Ⅱ、Ⅲ度开放性跟骨骨折患者应用HoffmannⅡ外固定支架+有限内固定治疗。结果:术后随访6～22个月,平均11.4个月,骨折均能维持良好复位,无切口或伤口愈合不良。术后6个月Maryland足功能评价优11例,良4例,可2例,优良率达88.2%。结论:HoffmannⅡ外固定支架治疗跟骨Ⅱ、Ⅲ度开放性骨折方法简便,对开放性、感染性创面的处理有明显优势;骨折块固定可靠;有利于关节面骨折的复位及软组织损伤的修复,因此足功能恢复好。
Objective: To analyze the treatment and the therapeutic effect to Ⅱ or Ⅲ degree open calcaneal fractures by the Hoffmann Ⅱexternal fixation.Methods: Seventeen patients with Ⅱ or Ⅲ degree open calcaneal fractures were treated by the Hoffmann Ⅱexternal fixation plus limited internal fixation.Results: During a period of 6 to 22 months′(mean 11.4 month) follow up,the fractures remained good reduction,without any poor healing of incision or wound.According to Maryland foot function criteria,11of 17 was excellent,4 good,2 satisfactory 6 months after the operation.Excellent and good rate was 88.2%.Conclusions: The treatment to Ⅱ or Ⅲ degree open calcaneal fractures by the Hoffmann Ⅱexternal fixation is convenient,especially for open fracture and infective wound.The stable fracture fragments are beneficial to the reduction of articular surface fractures and the recovery of soft tissue damage.So the recovery of foot function is satisfied.
Objective: To analyze the treatment and the therapeutic effect to Ⅱ or Ⅲ degree open calcaneal fractures by the Hoffmann Ⅱexternal fixation.Methods: Seventeen patients with Ⅱ or Ⅲ degree open calcaneal fractures were treated by the Hoffmann Ⅱexternal fixation plus limited internal fixation.Results: During a period of 6 to 22 months′(mean 11.4 month) follow up,the fractures remained good reduction,without any poor healing of incision or wound.According to Maryland foot function criteria,11of 17 was excellent,4 good,2 satisfactory 6 months after the operation.Excellent and good rate was 88.2%.Conclusions: The treatment to Ⅱ or Ⅲ degree open calcaneal fractures by the Hoffmann Ⅱexternal fixation is convenient,especially for open fracture and infective wound.The stable fracture fragments are beneficial to the reduction of articular surface fractures and the recovery of soft tissue damage.So the recovery of foot function is satisfied.
引文
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[4]薛成峰,李永刚.外固定器结合简单内固定治疗胫腓骨严重开放性骨折25例疗效分析[J].现代医学,2003,31(2):114-115.
[5]陈文,边竟,关韶勇,等.跟骨外固定器的研制与临床应用[J].中华骨科杂志,2012,32(3):240-244.
[6]LEONARD M,GEORGE R,SERGEI Y.Management of dis-placed intra articular calcaneal fractures by using extern al ringfixation,minimally invasive open reduction,and early weightbearing[J].J Foot Ankle Surg,2004,43(1):43-50.
[7]HANS Z,STEFAN R,SVEN B.Calcaneal fractures-open re-duction and internal fixation(ORIF)[J].Injury Int J Care In-jured,2004,35:46-54.
[8]黄广聪,黄敬恩,陈庆华,等.跟骨关节内骨折的手术治疗[J].东南大学学报:医学版,2011,30(4):580-582.
[2]GUSTILO R B.Concepts review.The management of open fractures[J].J Bone joint Surg(Am),1990,72:299-304.
[3]SANDERS R,FORTIN P,diPASQUALE T,et al.Operativetreatment in 120 displaced intraarticular calcaneal fractures.Re-sults using a prognostic computed tomography scan classification[J].Clin Orthop,1993,(290):87-95.
[4]薛成峰,李永刚.外固定器结合简单内固定治疗胫腓骨严重开放性骨折25例疗效分析[J].现代医学,2003,31(2):114-115.
[5]陈文,边竟,关韶勇,等.跟骨外固定器的研制与临床应用[J].中华骨科杂志,2012,32(3):240-244.
[6]LEONARD M,GEORGE R,SERGEI Y.Management of dis-placed intra articular calcaneal fractures by using extern al ringfixation,minimally invasive open reduction,and early weightbearing[J].J Foot Ankle Surg,2004,43(1):43-50.
[7]HANS Z,STEFAN R,SVEN B.Calcaneal fractures-open re-duction and internal fixation(ORIF)[J].Injury Int J Care In-jured,2004,35:46-54.
[8]黄广聪,黄敬恩,陈庆华,等.跟骨关节内骨折的手术治疗[J].东南大学学报:医学版,2011,30(4):580-582.