[1]张大保* 毛波.跗骨窦入路治疗跟骨Sanders Ⅱ、Ⅲ型骨折的体会[J].中国微创外科杂志,2017,17(3):242-248.
　Zhang Dabao,Mao Bo..Sinus Tarsi Approach Internal Fixation in the Treatment of Sanders Type Ⅱ and Ⅲ Calcaneum Fracture[J].Chinese Journal of Minimally Invasive Surgery,2017,17(3):242-248.
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跗骨窦入路治疗跟骨Sanders Ⅱ、Ⅲ型骨折的体会()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
17
期数:
2017年3期
页码:
242-248
栏目:
临床研究
出版日期:
2017-06-20

文章信息/Info

Title:
Sinus Tarsi Approach Internal Fixation in the Treatment of Sanders Type Ⅱ and Ⅲ Calcaneum Fracture
作者:
张大保* 毛波
佛山市第五人民医院佛山市科技学院附属医院骨科，佛山528211
Author(s):
Zhang Dabao;  Mao Bo.
Department of Orthopedics, The Fifth Peoples’ Hospital of Foshan, The Affiliated Hospital of Foshan Technical College, Foshan 528211, China
关键词:
跗骨窦入路; 跟骨骨折; 骨折内固定术
Keywords:
Sinus tarsi approach; Fracture of calcaneum; Internal fixation of fracture
文献标志码:
A
摘要:
目的探讨跗骨窦入路治疗Sanders Ⅱ、Ⅲ型跟骨骨折的临床疗效。方法回顾性分析2010年1月~2015年6月51例55足跟骨粉碎骨折的临床资料，Sanders分型Ⅱ型15足，Ⅲ型40足。通过跗骨窦入路行跟骨切开复位钢板内固定。结果51例均获随访，时间6~33个月，平均15.7月。采用Maryland评分系统进行评价，优43足，良好7足，中4足，差1足。优良率90.9%（50/55）。术后跟骨宽度、Bhler角及Gissane角较术前明显改善（P=0.000）。结论跗骨窦入路是治疗Sanders Ⅱ、Ⅲ型跟骨骨折的简单、安全的手术入路。
Abstract:
ObjectiveTo explore the efficacy of internal fixation in the treatment of intra-articular calcaneum fractures via the sinus tarsi approach. MethodsA retrospective study was made on 55 feet with intra-articular calcaneum fractures in 51 patients treated with open reduction and intemal fixation via sinus tarsi approach from January 2010 to June 2015. According to the Sanders classification, there were 15 feet of type Ⅱ fractures and 40 feet of type Ⅲ fractures.ResultsAll the patients were followed up for a mean period of 15.7 months (range, 6-33 months). The fractures were completely healed. According to the Maryland Foot Scores, the operative effect was excellent in 43 feet, good in 7 feet, fair in 4 feet, and poor in 1 foot. The excellent and good rate was 90.9% (50/55). The postoperative width of the calcaneum, Bhler angle, and Gissane angle were significantly improved than before operation (P=0.000).ConclusionOpen reduction and internal fixation via sinus tarsi approach is a simple and effective method for minimally invasive treatment of Sanders type Ⅱ and Ⅲ intra-articular calcaneum fractures.

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备注/Memo

备注/Memo:
*通讯作者，E-mail：double1114@126.com
更新日期/Last Update: 2017-06-20