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跟骨关节内骨折的手术治疗
引用本文:谭美云,郭杏,王远辉,张忠杰,阳运康,鲁晓波.跟骨关节内骨折的手术治疗[J].泸州医学院学报,2010,33(4):413-415.
作者姓名:谭美云  郭杏  王远辉  张忠杰  阳运康  鲁晓波
作者单位:1. 泸州医学院附属医院:骨与关节外科,四川泸州,646000
2. 泸州医学院附属医院:整形烧伤外科,四川泸州,646000
摘    要:目的:观察切开复位内固定治疗跟骨关节内骨折的临床疗效。方法:2005年6月至2009年4月,采用切开复位跟骨钢板内固定治疗跟骨关节内骨折20例24足,并根据Kerr评分系统评价疗效。结果:本组20例患者均获得随访,随访28~72周,平均38周。4足切口边缘坏死,积极换药处理后自愈。所有骨折均愈合。85%达到优良标准,钢板螺钉无松动、断裂。结论:切开复位跟骨钢板内固定是治疗跟骨关节内骨折的有效方法。

关 键 词:跟骨  关节内骨折  内固定

SURGICAL TREATMENT OF INTRA-ARTICULAR CALCANEUS FRACTURES
Institution:Tan Meiyun,et al Department of Bone and Joint Surgery,the Affiliated Hospital of Luzhou Medical College
Abstract:Objective:To investigate the clinical effect of open reduction and internal fixation for intra-artic-ular calcaneus fractures.Methods:From June 2005 to April 2009,20 patients(24 feet) were treated by open reduction and internal fixation.The results were assessed according to Kerr's scoring system.Results:All pa-tients were followed up for an average of 38 weeks(28~72 weeks).All factures were cured 4 feet developed surgical wound edge necrosis,howerer,healed after dressing changes.The excellent rate was 85%.There was no plate and screw broken or loosen.Conclusion:Open reduction and plate fixation is an effective method for treatment of intra-articular fractures of the calcaneus.
Keywords:Calcaneus  Intra-articular fracture  Internal fixation
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