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关节内跟骨骨折内固定治疗与并发症
引用本文:潘永太,许世建,郑文忠,肖奕增,黄春福,张秋林,王秋根. 关节内跟骨骨折内固定治疗与并发症[J]. 中国矫形外科杂志, 2005, 13(22): 1715-1717
作者姓名:潘永太  许世建  郑文忠  肖奕增  黄春福  张秋林  王秋根
作者单位:1. 第二军医大学长海医院骨科,上海,200433
2. 解放军第180医院骨一科,福建省泉州市,362000
摘    要:[目的]提高钢板内固定治疗关节内跟骨骨折的手术疗效、减少手术并发症。[方法]对跟骨骨折行切开复位钢板内固定治疗的51例患者进行随访,并对出现的并发症进行回顾性分析。[结果]51例56足中,47足骨折愈合优良,6足术后发生复位不佳、畸形愈合、切口延迟愈合、感染等并发症,发生率为11.7%。[结论]切开复位钢板内固定可作为治疗波及距下关节跟骨骨折的主要方法,术中注意操作细节、解剖复位可以减少并发症。

关 键 词:关节内跟骨骨折 内固定 并发症 手术疗效
收稿时间:2005-06-21
修稿时间:2005-08-16

The treatment of intra-articular calcaneal fractures with interal fixation and the following complications
PAN Yong-tai,XU Shi-jian,ZHENG Wen-zhong,et al.. The treatment of intra-articular calcaneal fractures with interal fixation and the following complications[J]. The Orthopedic Journal of China, 2005, 13(22): 1715-1717
Authors:PAN Yong-tai  XU Shi-jian  ZHENG Wen-zhong  et al.
Affiliation:The first Department of Orthopeadics, 180 Hospital of PLA, Quanzhou 362000, China; Department of Orthopeadics, Changhai hospital, Second Military Medical University, Shanghai 200433
Abstract:[Objective]To study how to decrease the complications and improve efficacy of the open reduction and internal fixation(ORIF) with plate for intra-articular calcaneal fractures.[Method]Fifty-one patients(56 feet),treated with ORIF, were followed up for 6 to 36 months, and the associated complications were analyzed retrospectively.[Result]Complications were found in 6 cases, including postoperative wound dehiscence in 2(infection in 1), malunion(failure to achieve reduction ) in 4.The percentage of complication was 11.7%.[Conclusion]ORIF with plate could be the main treatment for intra-articular calcaneal fractures. Should attention be paid to the detail skill and anatomical reduction, many complications could be avoided.
Keywords:Calcaneus    Fracture fixation    Complication
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