[1]吴亚兵 刘国辉 刘梦非△.经跗骨窦入路治疗SandersⅡ、Ⅲ型跟骨骨折25例[J].中国中医骨伤科杂志,2022,30(03):65-69.
　WU Yabing LIU Guohui LIU Mengfei.25 Cases Clinical Study on Tarsal Sinus Approach on the Treatment of Comminuted Sanders Ⅱ、Ⅲ Type Calcaneus Fracture[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2022,30(03):65-69.
点击复制

经跗骨窦入路治疗SandersⅡ、Ⅲ型跟骨骨折25例()
分享到：

《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第30卷
期数:
2022年03期
页码:
65-69
栏目:
临床报道
出版日期:
2022-03-15

文章信息/Info

Title:
25 Cases Clinical Study on Tarsal Sinus Approach on the Treatment of Comminuted Sanders Ⅱ、Ⅲ Type Calcaneus Fracture
文章编号:
1005-0205(2022)03-0065-05
作者:
吴亚兵1 刘国辉2 刘梦非2△
1湖北黄梅县中医医院康复科(湖北 黄梅,435500)2华中科技大学同济医学院附属协和医院骨科
Author(s):
WU Yabing1 LIU Guohui2 LIU Mengfei2△
1Department of Rehabilitation, Huangmei Hospital of Traditional Chinese Medicine, Huangmei 435500, Hubei China; 2Department of Orthopaedics, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China.
关键词:
跟骨;  骨折;  跗骨窦;  微创
Keywords:
calcaneus;  fracture;  tarsal sinus;  minimally invasive surgery
分类号:
R683.42
文献标志码:
B
摘要:
目的:观察经跗骨窦入路的手术方法在治疗Sanders Ⅱ、Ⅲ型跟骨骨折中的疗效。方法:通过回顾性研究的方法,系统性分析25例(27足)经跗骨窦入路微创手术治疗跟骨骨折的患者资料。分析患者的术前一般资料,统计患者术后并发症的发生情况,比较患者术前术后的跟骨B?hler角、Gissane角、跟骨宽度及高度的变化,记录末次随访时的AOFAS踝-后足评分。结果:纳入病例获得完整随访,平均随访时间为(16.21±4.25)个月。根据Sanders分型:Ⅱ型15足,Ⅲ型12足。术后无骨折不愈合、切口感染、骨髓炎等并发症。患者术后的跟骨B?hler角、Gissane角、跟骨宽度及高度均较术前有明显的改善,差异有统计学意义(P<0.05)。根据AOFAS踝-后足评分标准,患者术后疗效:优19足,良6足,可2足,优良率为92.6%(25/27)。结论:经跗骨窦入路微创手术治疗Sanders Ⅱ、Ⅱ型跟骨骨折短期内可取得满意的疗效。
Abstract:
Objective:To evaluate the therapeutic efficacy of transtarsal sinus approach on the treatment of comminuted calcaneal fracture.Methods:The data of 25 patients(27 feet)with calcaneal fracture treated by minimally invasive surgery via tarsal sinus approach were systematically analyzed retrospectively.The preoperative data of the patients were collected.The incidence of postoperative complications was assessed.The changes of calcaneal B?hler angle, Gissane angle, calcaneal width and height were compared before and after surgery, and the AOFAS ankle-hind foot score was recorded at the last follow-up.Results:The included patients were followed up for an average of(16.21±4.25)months.According to Sanders fracture classification, 15 feet were type Ⅱ fracture and 12 feet were type Ⅲ fracture.No postoperative complications such as fracture nonunion, incision infection and osteomyelitis occurred.The B?hler angle, Gissane angle, and calcaneal width and height were significantly improved after surgery(P<0.05).According to AOFAS ankle-hind foot scoring criteria, the postoperative efficacy was excellent in 19 feet, good in 6 feet and fair in 2 feet, with an excellent/good rate of 92.6%(25/27).Conclusion:Minimally invasive surgery via the tarsal sinus approach for comminuted calcaneal fractures has satisfactory results in the short term.

参考文献/References:

[1] 章浩伟,吕琳,倪明.跟骨骨折髓内固定治疗的研究进展[J].中华创伤骨科杂志,2021,23(5):458-460.
[2] 白晶,聂姗姗,王骁汉,等.跟骨骨折L形入路术后切口愈合不良的相关因素分析[J].中国中医骨伤科杂志,2021,29(5):21-24.
[3] 郑志辉,蔡沛彪,关可立,等.撬拨复位微创置板内固定术治疗跟骨骨折的临床观察[J].中国中医骨伤科杂志,2020,28(7):33-37.
[4] GUSIC N,FEDEL I,DARABOS N,et al.Operative treatment of intraarticular calcaneal fractures:Anatomical and functional outcome of three different operative techniques[J].Injury,2015,6:S130-S133.
[5] WANG C,CAN X,LI M,et al.Patient-specific instrument-assisted minimally invasive internal fixation of calcaneal fracture for rapid and accurate execution of a preoperative plan:a retrospective study[J].BMC Musculoskelet Disord,2020,21(1):407.
[6] 温明韬,梁学振,李嘉程,等.两种方式固定Sanders Ⅱ型跟骨骨折后的力学稳定性[J].中国组织工程研究,2022,26(6):878-882.
[7] 张金福,叶剑刚,吴金华,等.跗骨窦入路克氏针内固定治疗跟骨骨折[J].临床骨科杂志,2021,24(1):142-145.
[8] 王振,明晓锋,杨生民,等.跟骨L形切口的应用技巧[J].中国现代手术学杂志,2021,25(2):156-159.
[9] 关玉龙,吕春娥,赵晓亮,等.经跗骨窦切口与传统L形切口治疗老年人跟骨骨折临床疗效及安全性的比较[J].中国老年学杂志,2021,41(17):3678-3681.
[10] 王小龙,景尚斐,郝增涛,等.Allgower-Donati缝合法在跟骨骨折“L”形切口中的临床应用[J].生物骨科材料与临床研究,2021,18(1):39-42.
[11] 杨佳瑞,王志猛,乔瑞,等.氨甲环酸联合弹力绷带对跟骨骨折传统L型切口术后愈合和失血量的影响[J].国际骨科学杂志,2021,42(3):183-188.
[12] 王宝鹏,常西海,李光磊,等.两种切口内固定治疗Sanders Ⅱ、Ⅲ型跟骨骨折的比较[J].中国矫形外科杂志,2020,28(10):897-901.
[13] 申建军,冯康虎,王久夏.外侧横弧形切口与L形切口在跟骨粉碎骨折内固定治疗中的疗效比较[J].中国中医骨伤科杂志,2015,23(12):25-28.

备注/Memo

备注/Memo:
△通信作者 E-mail:617702588@qq.com
更新日期/Last Update: 1900-01-01