[1]穆臣会 郭氧 林山 徐华 杨沛彦.小切口微型钢板结合不同螺钉固定治疗跟骨粉碎性 骨折的疗效观察[J].中国中医骨伤科杂志,2019,27(07):37-40,44.
　MU Chenhui GUO Yang LIN Shan XU Hua YANG Peiyan.Treatment of Comminuted Calcaneal Fracture with Mini-plate and Different Screw Fixation through Small Incision[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2019,27(07):37-40,44.
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小切口微型钢板结合不同螺钉固定治疗跟骨粉碎性 骨折的疗效观察()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第27卷
期数:
2019年07期
页码:
37-40,44
栏目:
临床论著
出版日期:
2019-06-30

文章信息/Info

Title:
Treatment of Comminuted Calcaneal Fracture with Mini-plate and Different Screw Fixation through Small Incision
文章编号:
1005-0205(2019)07-0037-04
作者:
穆臣会1 郭氧1 林山2 徐华1 杨沛彦2
1厦门大学附属第一医院杏林分院骨科(福建 厦门,361000) 2厦门大学第一附属医院骨科
Author(s):
MU Chenhui1 GUO Yang1 LIN Shan2 XU Hua1 YANG Peiyan2
1Orthopedics Department,the First Affiliated Hospital of Xiamen University(Xinglin Branch),Xiamen 361000,Fujian China. 2Orthopedics Department,the First Affiliated Hospital of Xiamen University,Xiamen 361000,Fujian China.
关键词:
锁定螺钉固定;  跟骨粉碎性骨折;  踝关节;  微型钢板拉力螺钉
Keywords:
locking screw;  comminuted fracture of heel bone;  ankle joint;  mini-incision mini-plate lag screw plus locking screw
分类号:
R683.42
文献标志码:
A
摘要:
目的:研究小切口微型钢板结合不同螺钉固定治疗跟骨粉碎性骨折的疗效。方法:选择本院2016年7月至2018年7月纳入的104例跟骨粉碎性骨折患者作为研究对象,按照随机数字表法分为两组(各52例),试验组采取跗骨窦小切口微型钢板拉力螺钉结合锁定螺钉固定,对照组采取相同切口全部锁定螺钉固定,对比两组治疗结果。结果:治疗前两组的跟骨高度、跟骨宽度相比无差异,治疗后试验组跟骨高度及宽度均优于对照组,差异有统计学意义(P<0.05)。试验组关节面平整效果的优良率90.38%,明显高于对照组78.85%,差异有统计学意义(P<0.05)。试验组并发症发生率5.77%,明显低于对照组17.31%,差异有统计学意义(P<0.05)。治疗前两组的疼痛视觉模拟评分(VAS)和美国矫形外科足踝协会足功能评分(AOFAS),差异无统计学意义(P>0.05),治疗后试验组各项评分均优于对照组,差异有统计学意义(P<0.05)。结论:小切口微型钢板拉力螺钉结合锁定螺钉固定运用于跟骨粉碎性骨折中效果明显,可有效改善跟骨高度及宽度,减少并发症产生,促进关节面平整,减轻疼痛,改善踝关节功能。
Abstract:
To study the clinical value of mini-incision mini-plate lag screw plus locking screw in comminuted fracture of heel bone.Methods:104 comminuted fracture of heel bone patients treated from July 2016 to July 2018 in our hospital were selected and randomly assigned to two groups,52 cases in each group.The study group took the mini-incision mini-plate lag screw plus locking screw; the control group just took the locking screw.The therapeutic effect was probed.Results: Before treatment,heel bone height and width between groups was not significantly different; after treatment,heel bone height and width in the study group was better than that of control group(P<0.05); the good rate of smooth articular surface in the study group(90.38%)was higher than that of control group(78.85%)(P<0.05); the complication rate in the study group(5.77%)was lower than that of control group(17.31%)(P<0.05); before treatment,VAS(visual analogue scale)and AOFAS(American orthopaedic foot & ankle society)scores between groups were not significantly different(P>0.05); after treatment,related scores in the study group were better than those of control group(P<0.05).Conclusion:The mini-incision mini-plate lag screw plus locking screw can greatly improve the heel bone height and width,reduce the complication rate,promote the smooth articular surface,relieve the pain and increase the ankle joint function.

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备注/Memo

备注/Memo:
(收稿日期:2019-03-08) 基金项目:福建省自然科学基金(2018J01385)
更新日期/Last Update: 2019-06-30