[1]吴毛 胡钢 严松鹤 梁杰 汪志炯 俞云飞.手法复位结合经跗骨窦入路微创治疗跟骨骨折20例[J].中国中医骨伤科杂志,2021,29(12):54-56.
　WU Mao HU Gang YAN Songhe LIANG Jie WANG Zhijiong YU Yunfei.20 Cases of Calcaneal Fracture Treated by Manual Reduction Combined with Minimally Invasive Operation through Tarsal Sinus Approach[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2021,29(12):54-56.
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手法复位结合经跗骨窦入路微创治疗跟骨骨折20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12期
页码:
54-56
栏目:
临床报道
出版日期:
2021-12-15

文章信息/Info

Title:
20 Cases of Calcaneal Fracture Treated by Manual Reduction Combined with Minimally Invasive Operation through Tarsal Sinus Approach
文章编号:
1005-0205(2021)12-0054-03
作者:
吴毛1 胡钢1 严松鹤1 梁杰1 汪志炯1 俞云飞1
Author(s):
WU Mao1 HU Gang1 YAN Songhe1 LIANG Jie1 WANG Zhijiong1 YU Yunfei1
1Department of Orthopedics,Wuxi Hospital of Chinese Medicine Affiliated to Nanjing University of Chinese Medicine,Wuxi 214071, Jiangsu China.
关键词:
跟骨骨折;  跗骨窦切口;  微创钢板内固定;  伤口并发症
Keywords:
calcaneal fracture;  tarsal sinus incision;  minimally invasive internal fixation;  wound camplications
分类号:
R683.42
文献标志码:
B
摘要:
目的:观察手法复位结合经跗骨窦入路微创治疗跟骨骨折的临床疗效。方法:对2015年3月至2020年6月收治的Sanders Ⅱ型、Sanders Ⅲ型跟骨骨折患者,在手法闭合复位的基础上,采用经跗骨窦入路结合微型钢板及空心螺钉进行固定治疗。采用对比术前、术后及随访时跟骨解剖参数和Maryland评分等进行临床疗效评价。结果:20例患者均获得6～12个月随访,平均随访9.5个月。跟骨长度术前为(69.54±2.71)mm,术后2周为(72.84±2.33)mm,末次随访为(72.69±1.93)mm; 跟骨宽度术前为(35.31±2.16)mm,术后2周为(31.25±2.41)mm,末次随访为(30.82±2.61)mm; 跟骨高度术前为(33.34±1.95)mm,术后2周为(38.33±1.88)mm,末次随访为(38.13±1.92)mm; 跟骨Gisanes 角术前为98.09°±5.03°,术后2周为123.66°±2.47°,末次随访为122.62°±3.16°; 跟骨B?hler 角术前为8.10°±4.31°,术后2周为28.36°±3.79°,末次随访为26.05°±3.48°; Maryland评分术前为(53.25±13.19)分,末次随访为(85.95±11.79)分,手术前后差异有统计学意义(P<0.05)。结论:手法复位结合经跗骨窦入路微创治疗跟骨骨折的临床疗效确切,具有创伤小、并发症少等优势,为部分跟骨骨折患者提供了一种安全有效的微创方法。
Abstract:
Objective:To observe the clinical efficacy of manual reduction combined with minimally invasive operation through tarsal sinus approach on the treatment of calcaneal fracture.Methods:Patients with Sanders Ⅱ and Sanders Ⅲ calcaneal fractures from March 2015 to June 2020 were treated by fixation through the tarsal sinus approach combined with mini-plate and hollow screw based on manual closed reduction. The clinical efficacy was evaluated by comparing calcaneal anatomical parameters and Maryland score before, after and during follow-up.Results:All 20 patients were followed up for 6 to 12 months, with an average of 9.5 months. The calcaneal length was(69.54±2.71)mm before operation,(72.84±2.33)mm 2 weeks after operation and(72.69±1.93)mm at the last follow-up. Calcaneal width was(35.31±2.16)mm before operation,(31.25±2.41)mm 2 weeks after operation and(30.82±2.61)mm at the last follow-up. Calcaneal height was(33.34±1.95)mm before operation,(38.33±1.88)mm 2 weeks after operation and(38.13±1.92)mm at last follow-up. Calcaneal Gisanes angle was 98.09°±5.03° before operation,123.66°±2.47° 2 weeks after operation and 122.62°±3.16° at last follow-up. Calcaneal Bohler angle was 8.10°±4.31° before operation,28.36°±3.79° 2 weeks after operation, and(26.05°±3.48°)at the last follow-up. Maryland score was 53.25±13.19 before operation and 85.95±11.79 at last follow-up. The difference had statistically significant before and after operation.Conclusion:The trans-tarsal sinus approach combined with manual reduction for the minimally invasive treatment of calcaneal fracture has the advantages of precise clinical efficacy,small trauma and fewer complications,providing a safe and effective minimally invasive method for some patients with calcaneal fracture.

参考文献/References:

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备注/Memo

备注/Memo:
1江苏无锡市中医医院(江苏 无锡,214071)
更新日期/Last Update: 1900-01-01