切开复位取髂骨植骨治疗跟骨压缩性骨折不用内固定与用内固定手术比较

目的探讨切开复位取髂骨植骨治疗压缩性跟骨骨折用否内固定治疗的方法与疗效。方法回顾分析1999年9月~2005年2月52例波及中后关节面的跟骨压缩性骨折病例,第1组采用切开复位,将压缩骨折复位,主要是将跟骨、跟距关节面复位,取片状髂骨填塞骨缺损空腔植骨,不用内、外固定。第2组采用切开复位,将压缩骨折复位,主要是将跟骨、跟距关节面复位,取片状髂骨填塞骨缺损空腔植骨,用内固定。两组病例进行比较。结果所有病例均获随访,时间为6~12个月。术后按足部评分标准(JOA)进行功能评估,总体优良率为92.8%。结论对跟骨压缩性骨折采取切开复位取髂骨植骨术不用内固定治疗,局部切口小,创伤轻,无创缘坏死,较容易获得骨折的解剖复位,无须第二次手术取内固定,愈合后功能好,疗效满意。

Comparison of using fracture fixtion or not to treat calcaneus compression fracture by opening reduction and using iliac bone graftivg

Objective To evaluate the effects of using fracture ftxtion or not to treat calcaneus compression fracture by opening reduction and using iliac bone grafting, Methods Between September 1999 and February 2005, 52 patients were treated, some patients were used fracture fixtion to treat cahcaneus compression fracture by opening reduction and using iliac bone grafting, and the otheres were not used fracture fixtion, We got these two parts of patients to compere. Results All cases were followed up for 6 - 12months, and 92, 8% got satisfactory results, Conclusion Using fracture fixtion to treat calcaneus compression fracture by opening reduction and using iliac bone grafting is better than not using fracture fixtion in incision, tissue lesion, reduction, function, and effects.