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距下关节融合术治疗跟骨骨折后距下关节炎
引用本文:吴文特,陈志伟,廖瑛,李春. 距下关节融合术治疗跟骨骨折后距下关节炎[J]. 南华大学学报(医学版), 2011, 39(4): 435-437
作者姓名:吴文特  陈志伟  廖瑛  李春
作者单位:南华大学第一附属医院骨科,湖南衡阳,421001
摘    要:目的探讨距下关节融合术治疗跟骨骨折后距下关节炎的效果。方法 2009年9月~2010年5月,行距下关节融合术治疗5例5足,均为男性,年龄29~50岁,平均39.25岁,跟骨骨折后9~36个月,平均23.4个月。按Zwipp跟骨畸形愈合分型均为Ⅲ型。结果 5例5足皮肤切口一期愈合。随访时间3~10个月,平均7.4个月,完全负重时间为3个月。按美国足踝外科协会Maryland足评分系统评价手术前、后的功能:术前为42分,术后为81分,平均改善39分。结论手术选择合适病例,行距下关节融合术治疗跟骨骨折后距下关节炎可取得满意效果。

关 键 词:跟骨  骨折  距下关节炎
收稿时间:2011-01-07

Treatment of Subtalar Arthritis After Calcaneal Fracture by Ttalocalcaneal Arthrodesis
WU Wen-te,CHEN Zhi-wei,LIAO Ying,et al. Treatment of Subtalar Arthritis After Calcaneal Fracture by Ttalocalcaneal Arthrodesis[J]. Journal of Nanhua University(Medical Edition), 2011, 39(4): 435-437
Authors:WU Wen-te  CHEN Zhi-wei  LIAO Ying  et al
Affiliation:The First Affiliated Hospital of University of South China,Hengyang,Hunan 421001,China
Abstract:ObjectiveTo investigate the clinical results of operative treatment of subtalar arthritis after calcaneal fracture by talocalcaneal arthrodesis.Methods5 feet of subtalar arthritis after calcaneal fracture in 5 patients were treated by means of talocalcaneal arthrodesis from September 2009 to May 2010.All were regular followed up to analyze the clinical effects.ResultsAll 5 patients were followed up for 3months to 10 months,on an average of 7.4 months.According to Maryland foot score,average improvement score was 39 points.ConclusionChoosing the appropriate cases,treating subtalar arthritis by talocalcaneal arthrodesis can get satisfactory clinical results.
Keywords:Calcaneal  Fractures  subtalar arthritis
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