[1]马利杰* 姚双权 吴昊天 张学斌.经皮复位固定技术治疗严重塌陷型跟骨关节内骨折的近期疗效分析[J].中国微创外科杂志,2019,01(9):817-820.
　Ma Lijie,Yao Shuangquan,Wu Haotian,et al.Analysis of Shortterm Effect of Percutaneous Reduction and Fixation for Intraarticular Fractures of Severely Collapsed Intraarticular Calcaneal Fractures[J].Chinese Journal of Minimally Invasive Surgery,2019,01(9):817-820.
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经皮复位固定技术治疗严重塌陷型跟骨关节内骨折的近期疗效分析()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
01
期数:
2019年9期
页码:
817-820
栏目:
临床研究
出版日期:
2019-09-25

文章信息/Info

Title:
Analysis of Shortterm Effect of Percutaneous Reduction and Fixation for Intraarticular Fractures of Severely Collapsed Intraarticular Calcaneal Fractures
作者:
马利杰* 姚双权 吴昊天 张学斌
（河北医科大学第三医院创伤急救中心，石家庄050051）
Author(s):
Ma Lijie;  Yao Shuangquan;  Wu Haotian;  et al.
Trauma Center, The Third Hospital of Hebei Medical University, Shijiazhuang 050051, China
关键词:
跟骨; 经皮复位固定技术; 关节内骨折
Keywords:
Calcaneus; Minimally invasive surgery; Intraarticular fracture
文献标志码:
A
摘要:
目的探讨经皮复位固定技术治疗严重塌陷型跟骨关节内骨折的近期效果。方法2016年10月~2018年12月对33例（35侧）跟骨骨折采用经皮推顶复位技术复位距下关节面，恢复跟骨长度、高度和宽度，纠正内外翻畸形，经皮轴向支撑和横向加压螺钉固定骨折。结果手术时间（46.7±6.9）min。术后无皮肤坏死感染等并发症。术后12 h VAS疼痛评分（5.1±1.2）分。术前跟骨高度（40.92±4.11）mm，显著低于术后（44.53±3.53）mm（t=4.114，P=0.000）；术前跟骨宽度（52.30±4.70）mm，显著高于术后（41.66±2.96）mm（t=10.433，P=0.000）；术前跟骨长度（71.81±6.76）mm，显著低于术后（81.86±3.22）mm（t=8.120，P=0.000）；术前Biohler角中位数5.00°（-10.3°~15.5°），显著小于术后29.10°（22.5°~40.5°）（Z=-5.160，P=0.000）；术前Gissane角106.39°±11.61°，显著小于术后130.53°±4.74°（t=10.938，P=0.000）。术后6个月美国足踝外科协会（American Orthopedic Foot and Ankle Society, AOFAS）足踝部功能评分（76.0±6.1）分，27侧良（77.1%）,8侧可。结论经皮复位、轴向支撑、横向加压固定技术治疗跟骨关节内骨折近期疗效满意。
Abstract:
ObjectiveTo introduce the shortterm effect of percutaneous reduction and fixation for the treatment of severely collapsed intraarticular calcaneal fractures.MethodsThirtythree patients with intraarticular calcaneal fractures (35 lesions) from October 2016 to December 2018 were selected. Percutaneous reduction technique was applied to reduce the subtalar articular surface, restore the calcaneus length, height and width, and correct the varus deformity. And the fracture was fixed with percutaneous axial support and transverse compression screw.ResultsThe operation time was (46.7±6.9) min.There were no postoperative complications such as skin necrosis or infection. The postoperative 12 h pain VAS score was (5.1±1.2) points. The height of calcaneal bone before surgery was (40.92±4.11) mm, which was significantly lower than that after surgery (44.53±3.53 mm, t=4.114, P=0.000). The preoperative calcaneus width was (52.30±4.70) mm, which was significantly higher than postoperation ［(41.66±2.96) mm, t=10.433, P=0.000］. The preoperative calcaneus length was (71.81±6.76) mm, which was significantly lower than that postoperatively ［(81.86±3.22) mm, t=8.120, P=0.000］. The median preoperative Biohler angle was 5.00°(-10.3°--15.5°), which significantly lower than that postoperatively ［29.10° (22.5°-40.5°), Z=-5.160, P=0.000］. The preoperative Gissane angle (106.39°±11.61°) was significantly lower than that postoperatively (130.53°±4.74°, t=10.938, P=0.000). The AOFAS foot and ankle function score was (76.0±6.1) points at 6 months after surgery.The results were good in 27 sides(77.1%) and fair in 8 sides.ConclusionPercutaneous reduction, axial support and lateral compression fixation techniques for intraarticular calcaneal fractures can obtain satisfactory shortterm efficacy.

参考文献/References:

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备注/Memo

备注/Memo:
*通讯作者，Email:778013986@qq.com
更新日期/Last Update: 2019-12-10