撬拨复位经皮穿针加小切口植骨治疗跟骨骨折的临床研究

目的：评价撬拔复位经皮穿针加小切13植骨术治疗跟骨骨折的临床疗效。方法：对采用经皮穿针撬拨复位加小切口植骨术治疗的54例跟骨骨折患者的临床资料进行分析,测量比较术前、术后Bohler角和Gissane角,并根据按Iowa跟骨骨折功能评分标准和Maryland足功能评分标准进行评定。结果：54例患者全部获得随访,随访7-18个月,平均13个月,Bohler角全部恢复正常,评定结果为优50例,良3例,可1例,差0例,优良率98．1％。经过治疗其中53例恢复良好,1例进行正常的日常生活无不适,长时间站立行走后仍觉患处隐痛,优良率达98．1％。结论：撬拔复位经皮穿针加小切口植骨术治疗跟骨骨折是一种创伤小、固定可靠、较好的手术方法,且具有并发症少、费用少等优点,其疗效确切,是治疗跟骨骨折的有效方法。

Clinical research of fracture of calcaneus reducted by leverage and bone implanted via a small incision

Objective: To explore the clinical efficacy of fracture of calcaneus reducted by leverage and bone implanted via a small incision.Methods:The preoperative BOhler /Gissane angle,postoperative BOhler /Gissane angle were measured and analyzed;the scores were evaluated according to the Iowa functional score standards for calcaneal fractures and Maryland sufficient functional score standard.Results:The average duration of follow-up was 13 months(range,7 to 18 months) for all patients.The BOhler angles were all returned to normal.According to the Iowa functional score standards for calcaneal fractures and Maryland sufficient functional score standard,50 cases were excellent,3 cases were good,one case was fair and no case was poor,and the satisfactory rate was 98.1%.Conclusion:Fracture of calcaneus reducted by leverage and bone implanted via a small incision had small trauma,fixed reliable,had fewer complications and less spending,and it is effective and worthy of popularization.