[1]陈长贤△ 李铭雄 刘联群 陈夏平 吴天然 张细祥 孔祥标 陈王 魏志勇 刘志强 汪若波.撬拨复位力臂式支架联合横向镙钉治疗SandersⅢ,Ⅳ型跟骨骨折的临床研究[J].中国中医骨伤科杂志,2017,25(04):10-13.
　CHEN Changxian LI Mingxiong LIU Lianqun CHEN Xiaping WU Tianran ZHANG XixiangKONG Xiangbiao CHEN Wang WEI Zhiyong LIU Zhiqiang WANG Ruobo.Clinical Research on Poking Reduction Arm Stents Combined with Horizontal Screws in the Treatment of Calcaneal Fractures of Sanders Type Ⅲ and Ⅳ[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2017,25(04):10-13.
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撬拨复位力臂式支架联合横向镙钉治疗SandersⅢ,Ⅳ型跟骨骨折的临床研究()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第25卷
期数:
2017年04期
页码:
10-13
栏目:
临床研究
出版日期:
2017-04-06

文章信息/Info

Title:
Clinical Research on Poking Reduction Arm Stents Combined with Horizontal Screws in the Treatment of Calcaneal Fractures of Sanders Type Ⅲ and Ⅳ
文章编号:
1005-0205(2017)04-0010-04
作者:
陈长贤1△ 李铭雄1 刘联群1 陈夏平1 吴天然1 张细祥1 孔祥标1 陈王1 魏志勇1 刘志强1 汪若波1
1.福建泉州市正骨医院(福建 泉州,362000)
△.通信作者 E-mail:ccx6070@qq.com
Author(s):
CHEN Changxian1△ LI Mingxiong1 LIU Lianqun1 CHEN Xiaping1 WU Tianran1 ZHANG Xixiang1KONG Xiangbiao1 CHEN Wang1 WEI Zhiyong1 LIU Zhiqiang1 WANG Ruobo1
1.Fujian Quanzhou Orthopedic Hospital, Quanzhou 362000, Fujian, China.
关键词:
跟骨骨折;  撬拨复位;  切开复位;  力臂式支架;  疗效
Keywords:
calcaneus fractures;  poking reduction;  open reduction;  arm stents;  efficacy
分类号:
R683.42
文献标志码:
A
摘要:
目的:探讨撬拨复位力臂式支架联合横向镙钉固定治疗SandersⅢ,Ⅳ型跟骨骨折的疗效,为其推广应用提供理论依据。方法:选取70例SandersⅢ,Ⅳ型跟骨骨折患者进行分组,治疗组与对照组各35例; 治疗组治疗方法为撬拨复位力臂式支架联合横向镙钉固定; 对照组治疗方法为切开复位钢板内固定。记录每例患者的手术时间、术中出血量、术后X线片指标Bohler角及横径恢复情况,并发症发生率及术后12个月随访按Kerr评分标准评定患者的临床疗效。结果:所有病例均获得12～18个月随访,两组病例在手术时间、术中出血量、术后X线片Bohler 角及横径恢复指标方面,差异有统计学意义(P<0.05),并发症发生率及Kerr疗效评分差异无统计学意义(P>0.05)。结论:撬拨复位力臂式支架联合横向镙钉固定治疗操作便捷、损伤小、疗效可靠,值得推广应用。
Abstract:
Objectives: To explore the efficacy of poking reduction arm stents combined with horizontal screws in the treatment of calcaneal fractures of Sanders type Ⅲ and Ⅳ, and to provide theoretical basis for its application. Methods: All 70 cases of calcaneal fractures of Sanders type Ⅲ and Ⅳ were selected, 35 cases in the treatment group and 35 cases in the control group; the treatment group were treated with poking reduction arm stents combined with horizontal screws fixation, and the control group were treated with open reduction and plate internal fixation. The operation time, the intraoperative blood loss and the recovery situation of postoperative X-ray index of Bohler angle and transverse diameter were recorded for each patient. The clinical efficacy of the patients was assessed by the incidence of complications and the 12 months postoperative follow-up according to the Kerr's score criteria. Results: All cases were followed up for 12 to 18 months. There were significant differences between the two groups in the operation time, intraoperative blood loss, postoperative X-ray of Bohler angle and transverse diameter recovery index(P<0.05), but there was no significant difference in the incidence of complications and Kerr's score criteria(P>0.05). Conclusion: Poking reduction arm stents combined with horizontal screws fixation has an advantage of convenient operation, tinier injured and reliable efficacy, which is worthy for popularization and application.

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备注/Memo

备注/Memo:
基金项目:福建省泉州市科研资金项目(2013Z114)
更新日期/Last Update: 2017-04-07