[1]谭新欢,段来宝,王凯君,等.双撑开空心钉闭合复位内固定技术治疗跟骨骨折39例[J].中国中医骨伤科杂志,2026,34(02):87-92.[doi:10.20085/j.cnki.issn1005-0205.260215]
　TAN Xinhuan,DUAN Laibao,WANG Kaijun,et al.Double Supporting Hollow Screws Closed Reduction Internal Fixation Technique for Treatment of 39 Cases of Calcaneal Fractures[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2026,34(02):87-92.[doi:10.20085/j.cnki.issn1005-0205.260215]
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双撑开空心钉闭合复位内固定技术治疗跟骨骨折39例()

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

卷:
第34卷
期数:
2026年02期
页码:
87-92
栏目:
临床研究
出版日期:
2026-02-15

文章信息/Info

Title:
Double Supporting Hollow Screws Closed Reduction Internal Fixation Technique for Treatment of 39 Cases of Calcaneal Fractures
文章编号:
1005-0205(2026)02-0087-06
作者:
谭新欢1; 段来宝1; 王凯君1; 王飞1; 陈延荣2; 杨庆民1; 孙晋客1; 于大鹏1; 毕宏政1△
1山东省文登整骨医院(山东省骨伤研究院)(山东 威海,264400);2山东中医药大学附属医院
Author(s):
TAN Xinhuan1; DUAN Laibao1; WANG Kaijun1; WANG Fei1; CHEN Yanrong2; YANG Qingmin1; SUN Jinke1; YU Dapeng1; BI Hongzheng1△
1Wendeng Hospitial of Traditional Chinese Orthopedics and Traumatology of Shandong Province,Weihai 264400,Shandong China; 2Affiliated Hospital of Shandong University of Traditional Chinese Medicine,Jinan 250011,China.
关键词:
跟骨骨折;  撬拨复位;  闭合复位;  微创
Keywords:
calcaneal fracture;  levering reduction;  closed reduction;  minimally invasive
分类号:
R683.42
DOI:
10.20085/j.cnki.issn1005-0205.260215
文献标志码:
A
摘要:
目的:观察双撑开空心钉闭合复位内固定技术治疗Paley C1型跟骨骨折的临床疗效和安全性。方法:回顾性分析2022年1月至2024年6月收治的39例Paley C1型跟骨骨折患者的病例资料,其中男31例,女8例; 年龄为36～60岁,平均为(46.8±5.7)岁; 受伤至手术时间为2～7 d,平均为(4.2±1.6)d。所有患者采用双撑开空心钉闭合复位内固定技术治疗。随访观察并发症发生情况,比较术前与术后的跟骨Böhler角、Gissane角、高度及宽度,末次随访根据AOFAS踝-后足评分系统进行疗效评定。结果:39 例患者均完成随访,随访时间为12～17个月,平均为(14.7±1.9)个月; 所有骨折均愈合,愈合时间为11～16周,平均为(13.3±1.9)周; 术后未见切口感染、骨髓炎等相关并发症。与术前相比,术后跟骨Böhler角、Gissane 角、高度及宽度均较术前改善,差异有统计学意义(P<0.05); 根据AOFAS踝-后足部评分标准评分为85～97分,平均为(93.8±1.1)分,优良率为92.3%。结论:双撑开空心钉闭合复位内固定技术治疗Paley C1型跟骨骨折,具有微创高效、固定牢固、并发症少、有利于足部功能恢复的优势,可供临床选择。
Abstract:
Objective:To observing the clinical efficacy and safety of double supporting hollow screws closed reduction internal fixation technique in the treatment of calcaneal fractures of Paley C type.Methods:A retrospective analysis of the clinical data of 39 cases of calcaneal fractures of Paley C1 type admitted from January 2022 to June 2024,including 31 males and 8 females; aged from 36 to 60 years old,with an average of(46.8±5.7)years old; from injury to surgery time was 2 to 7 d,with an average of(4.2±1.6)d.Patients were treated with double supporting hollow screws closed reduction and internal fixation technique.Follow-up observations were made on the occurrence of complications,and comparisons were made between theoperative and postoperative calcaneus Böhler's angle,Gissane's angle,height and width,and the curative effect was evaluated according to the AOFAS ankle-hindfoot scoring system at the last follow-up.Results:Thirty-nine patients were followed up for 12 to 17 months,with an average of(14.7±1.9)months.All the fractures were healed,the healing time was 11 to 16 weeks,with an average of(13.3±1.9)weeks.No wound infection,osteomyelitis or other related complications were seen after the operation.The Böhler's angle,Gissane's angle,height and width of the calcus were all significantly different after the operation compared with before the operation(P<0.05).According to the AOFAS ankle-hindfoot scoring system,the scores ranged from 85 to 97,with an average of 93.8±1.1,and the excellent and good rate was 92.3%.Conclusion:The treatment of calcaneal fractures of Paley C1 type with the double supporting hollow screws closed reduction internal fixation technique has the advantages of satisfactory reduction,reliable fixation,minimally invasive and efficient,and fewer complications.

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(收稿日期:2025-06-14)

备注/Memo

备注/Memo:
基金项目:山东省中医药科技项目(M20241001,Z-2023032T)
威海市中医药科技项目(2024N-15)
国家中医药管理局科技司-山东省卫生健康委员会共建中医药科技项目(GZY-KJS-SD-2023-030)
全国名老中医药专家传承工作室(国中医药人教函〔2022〕75号)
△通信作者 E-mail:bhz1971@163.com
更新日期/Last Update: 2026-02-15