浅谈跟骨骨折手术早期并发症

目的：分析探讨跟骨骨折行切开复住内固定治疗以及早期并发症预防对策。方法：对我院2004年～2008年70例（78足）跟骨骨折患者采用跟骨外侧入路行钢板内固定，术后皮辩下放置引流，进行回顾性分析。结果：70例78足中，70足愈合优良，4足切口交角处皮辩缘皮肤坏死，4足切口内血肿形成，均经换药痊愈。结论：跟骨骨折内固定早期手术并发症与切口血供特点有关。跟骨骨折应根据骨折类型选择恰当的治疗方案，可有效减少并发症，获得满意的疗效。选择适当的手术时机，熟悉切口解剖，采用全厚皮瓣并避免过分牵拉，术后充分引流并抬高患肢可有效减少并发症发生。

Discusses the calcaneum bone fracture surgery early time complication shallowly

Objective：Analyzes in the discussion calcaneum bone fracture line of incision replacement the fixed treatment as well as the early complication prevention countermeasure. Method：In 2004 -2008 year 70 example （78 feet） the calcaneum bone fracture patient used in the calcaneum flank admission passage good steel plate to my courtyard fixed, after the technique, under the skin petal laid aside the drainage, carried on the review analysis. Results：In 70 example 78 feet, 70 foot cicatrizations are fine, 4 full margin angle of intersection place Pi Banyuan skin necrosis, in 4 full margins the haematoma formation, passes through trades the medi- cine healing. Conclusions：In the calcaneum bone fracture the fixed early operation complication and the margin blood concern for the characteristic. The calcaneum bone fracture should act according to the bone fracture type choice appropriate therapeutic schedule, but reduces the complication effectively, obtains satisfaction the curative effect. Chooses the suitable surgery opportunity, the fa- miliar margin dissection, uses entire thick Pi Banbing to avoid pulling excessively pulls, after the technique, the full drainage and raises the trouble extremity to be possible to reduce the complication occurrence effectively.