[1]冯放 任俊涛 张云飞△.跗骨窦入路微型钢板内固定治疗跟骨骨折40例[J].中国中医骨伤科杂志,2021,29(04):66-68.
　FENG Fang REN Juntao ZHANG Yunfei.Study on Tarsal Sinus Approach with Mini-Plate InternalFixation for 40 Cases of Calcaneal Fracture[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2021,29(04):66-68.
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跗骨窦入路微型钢板内固定治疗跟骨骨折40例()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第29卷
期数:
2021年04期
页码:
66-68
栏目:
临床报道
出版日期:
2021-04-15

文章信息/Info

Title:
Study on Tarsal Sinus Approach with Mini-Plate InternalFixation for 40 Cases of Calcaneal Fracture
文章编号:
1005-0205(2021)04-0066-03
作者:
冯放1 任俊涛2 张云飞2△
1湖北中医药大学(武汉,430070)
2湖北中医药大学附属襄阳市中医院
Author(s):
FENG Fang1 REN Juntao2 ZHANG Yunfei2△
1Hubei University of Traditional Chinese Medicine,Wuhan 430070,China; 2Traditional Chinese Medicine Hospital of Xiangyang Affiliated to Hubei University of Traditional Chinese Medicine,Xiangyang 441000,Hubei China.
关键词:
跟骨骨折;  跗骨窦间隙;  微型钢板;  内固定
Keywords:
calcaneal fracture;  sinus tarsal space;  mini-plate;  internal fixation
分类号:
R683.42
文献标志码:
B
摘要:
目的:总结跗骨窦间隙切口入路治疗跟骨骨折的临床疗效及应用。方法:选取本院2017 年10月至2019年10月期间跟骨骨折的40例患者,均接受跗骨窦入路内固定手术治疗。测量并比较术前术后Bohler和Gissane角的变化情况,记录术后并发症的发生情况,以美国足踝骨科协会(AOFAS)评分为标准对患者术后1 a的恢复进行效果评估。结果:患者术后Bohler角及Gissane角均较术前显著改善,差异有统计学意(P<0.05); 所有患者均获得为期1 a随访,2例出现距下关节炎,对症处理后均得到改善; 所有患者足部AOFAS评分均优于术前,差异有统计学意义(P<0.05)。结论:经跗骨窦间隙入路内固定治疗跟骨骨折,具有切口小、愈合快、可有效恢复关节功能等优点。
Abstract:
To summarize the clinical efficacy and the application of tarsal sinus approach in the treatment of calcaneal fracture.Methods:40 patients who underwent internal fixation of tarsal sinus approach for calcaneal fractures were selected during October 2017 to October 2019.The changes of bohler angle and gissane angle before and after operation were measured and compared,and the occurrence of postoperative complications was recorded.The recovery effect of patients one year after operation was evaluated according to the score of American Orthopedic Foot & Ankle Society(AOFAS).Results:Postoperative bohler angle and gissane angle were significantly improved compared with preoperative condition,and the difference was statistically significant(P<0.05).All patients received a 1-year follow-up,and 2 patients developed subtalar arthritis and obtained improvement after symptomatic treatment.The AOFAS score of foot in all patients was better than that before the operation,and the difference was statistically significant(P<0.05).Conclusion:Transtarsal sinus space approach internal fixation for calcaneal fracture has many advantages,such as small incision healing and effectively restore joint function.

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备注/Memo

备注/Memo:
△通信作者 E-mail:xyzyyzyf1967@163.com
更新日期/Last Update: 2021-04-15