[1]谢玉超,平春峰,冯伟利,等.锁定钢板联合载距突螺钉技术治疗涉及内侧柱剪切型骨折的复杂跟骨骨折[J].中国中医骨伤科杂志,2023,31(03):82-85.[doi:10.20085/j.cnki.issn1005-0205.230316]
 XIE Yuchao,PING Chunfeng,FENG Weili,et al.Locking Plate Combined with Sustentaculum Tali Screw Technique on the Treatment of Complex Calcaneal Fractures Involving Medial Column Shear Fractures[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2023,31(03):82-85.[doi:10.20085/j.cnki.issn1005-0205.230316]
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锁定钢板联合载距突螺钉技术治疗涉及内侧柱剪切型骨折的复杂跟骨骨折()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第31卷
期数:
2023年03期
页码:
82-85
栏目:
临床报道
出版日期:
2023-03-15

文章信息/Info

Title:
Locking Plate Combined with Sustentaculum Tali Screw Technique on the Treatment of Complex Calcaneal Fractures Involving Medial Column Shear Fractures
文章编号:
1005-0205(2023)03-0082-04
作者:
谢玉超1平春峰1冯伟利1詹伟杰1楚利涛2△
1河南新密市中医院骨科(河南 新密,452307)
2郑州市骨科医院
Author(s):
XIE Yuchao1PING Chunfeng1FENG Weili1ZHAN Weijie1CHU Litao2△
1Department of Orthopaedics, Xinmi Hospital of Traditional Chinese Medicine, Xinmi 452307, Henan China;
2Department of Orthopaedics, Zhengzhou Orthopaedic Hospital, Zhengzhou 450015, China.
关键词:
跟骨骨折 锁定钢板 载距突螺钉 内侧柱剪切型骨折
Keywords:
calcaneal fracture locking plate sustentaculum tali screw medial column shear fracture
分类号:
R683.42
DOI:
10.20085/j.cnki.issn1005-0205.230316
文献标志码:
B
摘要:
目的:探讨锁定钢板联合载距突螺钉技术治疗涉及内侧柱剪切型骨折的复杂跟骨骨折的临床疗效。方法:回顾性分析2019年6月至2021年5月采用跟骨外侧“L”形切口,锁定钢板联合载距突螺钉技术治疗涉及内侧柱剪切型跟骨骨折的21例临床患者资料。男15例,女6例; 左侧7例,右侧14例; 年龄为18~57岁,中位数为37岁; 均为单侧闭合新鲜跟骨骨折。骨折Sanders分型:Ⅱ型5例,Ⅲ型16例。皮肤皱褶试验阳性后开展手术,记录手术时间及术中出血量,收集患者术前、术后定期复查的影像学检查及患足功能资料,测量并记录跟骨的长度、高度、宽度、Böhler角、Gissane角,使用美国足踝关节协会(American Orthopaedic Foot and Ankle Society,AOFAS)的踝-后足评分评估患足末次随访功能,同时观察治疗及随访期间患足并发症的发生情况。结果: 所有患者均顺利手术且术后均获得随访,随访时间为12~35个月,中位数为24个月。所有骨折均愈合,愈合时间为10~17周,中位数为13周,无相关并发症发生。与术前相比,末次随访时影像学检查测量跟骨高度、长度、宽度、Böhler角及Gissane角均显著改善,差异有统计学意义(P<0.05); AOFAS踝-后足部评分为74~98分,中位数为91分,其中优13例,良7例,可1例。结论: 锁定钢板联合载距突螺钉技术治疗涉及内侧柱剪切型骨折的复杂跟骨骨折是一种有效可靠的方法,可供临床选择。
Abstract:
Objective:To investigate the clinical efficacy of locking plate combined with sustentaculum tali screw technique on the treatment of complex calcaneal fractures involving medial column shear fractures. Methods:The data of 21 clinical patients with calcaneal shear calcaneal fracture treated by locking plate combined with sustentaculum tali screw technique from June 2019 to May 2021 through “L” incision on the lateral calcaneal bone were retrospectively analyzed. There were 15 males and 6 females, 7 cases on the left side and 14 cases on the right side. The patients aged from 18 to 57 years old, with a median of 37 years old. All patients had unilateral closed fresh calcaneal fractures. According to Sanders classification, there were 5 cases of type Ⅱ and 16 cases of type Ⅲ, and the skin fold test was all positive when the surgery was taken. The length, height, width, Böhler's angle and Gissane's angle of the calcaneus were measured and recorded. The American Orthopaedic Foot and Ankle Society(AOFAS)ankle-hindfoot score was used to evaluate the function of the foot at the last follow-up, and the complications of the foot during treatment and follow-up were observed. Results:All patients were successfully operated and were followed up for 12 to 35 months, with a median of 24 months. All fractures healed in 10 to 17 weeks, with a median of 13 weeks. No related complications occurred. The calcaneal height, length, width, Böhler's angle and Gissane's angle were significantly improved at the last follow-up(P<0.05).The AOFAS ankle-hindfoot score ranged from 74 to 98 points, with a median of 91 points, of which 13 cases were excellent, 7 cases were good, and 1 case was fair. Conclusion:Locking plate combined with sustentaculum tali screw technique is an effective and reliable method for the treatment of complex calcaneal fractures involving medial column shear fracture.

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备注/Memo

备注/Memo:
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更新日期/Last Update: 2023-03-10