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手术治疗跟骨关节内骨折30例
引用本文:吴庆,冯琼,吴凯,付晓玲,邓晖. 手术治疗跟骨关节内骨折30例[J]. 实用临床医学(江西), 2010, 11(6): 57-58,63
作者姓名:吴庆  冯琼  吴凯  付晓玲  邓晖
作者单位:吴庆,吴凯,付晓玲,邓晖,WU Qing,WU Kai,FU Xiao-ling,DENG Hui(南昌大学第二附属医院骨科医学院护理部,南昌,330006);冯琼,FENG Qiong(南昌大学医学院护理部,南昌,330006) 
摘    要:目的观察手术切开复位内固定治疗跟骨关节内骨折的疗效。方法采用跟骨外侧"L"形切口,切开复位,解剖型跟骨钛板内固定的方法治疗跟骨关节内骨折患者30例。结果优10例,占33%;良18例,占60%;差2例,占7%。优良率占93%。结论手术治疗跟骨关节内骨折可以恢复跟骨的高度,长度和宽度,重建距下关节面和跟骰关节面,保证获得充分的稳定,允许术后早期活动。

关 键 词:跟骨关节内骨折  手术治疗  病例报告

Operative Treatment of Intra-articular Calcaneal Fractures: Report of 30 Cases
WU Qing,FENG Qiong,WU Kai,FU Xiao-ling,DENG Hui. Operative Treatment of Intra-articular Calcaneal Fractures: Report of 30 Cases[J]. Practical Clinical Medicine, 2010, 11(6): 57-58,63
Authors:WU Qing  FENG Qiong  WU Kai  FU Xiao-ling  DENG Hui
Affiliation:a(a.Department of Orthopaedic,the Second Affiliated Hospital;b.Department ofNursing of Medical College,Nanchang University,Nanchang 330006,China)
Abstract:Objective To observe the effects of titanium plate internal fixation in the treatment of intra-articular calcaneal fracture.Methods 30 cases of intra-articular calcaneal fracture were treated by open reduction and anatomic titanium plate internal fixation through the calcaneal lateral "L" shaped incision.Results The results were excellent in 10 cases(33%),good in 18 cases(60%),fair in 2 cases(7%).The excellent and good rate accounted for 93%.Conclusion Titanium plate internal fixation is an effective treatment for intra-articular calcaneal fracture.This procedure can restore the calcaneal height,length and width,reconstruct the articular facet of subtalar joint and calcaneocuboid joint,which ensure adequate stability for allowing postoperative early mobilization.
Keywords:intra-articular calcaneal fracture  surgical treatment  case report
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