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跟骨粉碎骨折的手术治疗
引用本文:于健,俞立新,吴群峰,冯伟,郭松华.跟骨粉碎骨折的手术治疗[J].中外医疗,2010,29(5):13-14.
作者姓名:于健  俞立新  吴群峰  冯伟  郭松华
作者单位:浙江湖州解放军第九八医院,浙江湖州,313000
摘    要:目的评价手术治疗严重粉碎性跟骨骨折的临床疗效。方法对46例粉碎性跟骨骨折给予一期植骨,用可塑形跟骨钛钢板进行开放复位内固定手术治疗。采用Margland Foot Score系统进行术后功能评价。结果46例术后均获随访,时间8~60个月,平均16.6个月。骨折全部愈合。其中优32例,良9例,可4例,差1例,优良率89.1%。结论一期植骨,开放复位可塑形跟骨钛板内固定是治疗粉碎性骨折的良好方法。

关 键 词:跟骨粉碎骨折  内固定术

Operative Treatment of Comminuted Calcaneal Fracture
Abstract:Objective To evaluate the therapeutic effect of comminuted calcaneal fracture with operation.Methods Fourty six feet of severe con=minuted calcaneal fractures were treated by one stage bone grafting,plastic calcaneus titanium plate. Results All cases were follow up for 8-60 months,all cases recovered with good healing of fracture,according to Maryland criteria,an excellent outcome was found in 32 feet,good in 9,fair in 4,poor in 1,the excellent and good rate was 89.1%.Conclusion It is a good procedure for the treatment of comminuted calcaneal fracture with one--stage bone grafting,open reduction and internal fixation of plastic calcanens titanium plate.
Keywords:Comminuted calcaneal fracture  Internal fixation
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