一期开放复位内固定治疗Sanders Ⅳ型跟骨骨折临床疗效的探讨

中华养生保健 ›› 2024, Vol. 42 ›› Issue (13): 172-175.

一期开放复位内固定治疗Sanders Ⅳ型跟骨骨折临床疗效的探讨

杜洪洋¹, 谢斌², 徐潭潭^1,*, 沈铁辉³

1.滕州市中心人民医院骨科,山东滕州,277500;
2.滕州市中心人民医院检验科,山东滕州,277500;
3.淄博市中心医院创伤骨科,山东淄博,255036

出版日期:2024-07-01 发布日期:2024-06-25
通讯作者: ^*徐潭潭, E-mail：xutantan2004@163.com。
作者简介:杜洪洋（1986—）,男,汉族,籍贯：山东省枣庄市,硕士研究生,主治医师,研究方向：急诊急救,创伤骨科。
基金资助:
济宁医学院教师科研扶持基金项目（JYFC2019FKJ047）

Clinical Effect of Primary Open Reduction and Internal Fixation in Treatment of Sanders Type IV Calcaneal Fracture

DU Hong-yang¹, XIE bin², XU Tan-tan^1,*, SHEN Tie-hui³

1. Orthopedics Department of Tengzhou Central People's Hospital, Tengzhou Shandong 277500, China;
2. Laboratory Department of Tengzhou Central People's Hospital, Tengzhou Shandong 277500, China;
3. Trauma orthopaedics Departmentof Zibo Central Hospital, Zibo Shandong 255036, China

Online:2024-07-01 Published:2024-06-25

摘要/Abstract

摘要： 目的研究一期开放复位钢板内固定治疗Sanders Ⅳ型跟骨骨折术中植骨与不植骨的临床疗效比较。方法回顾性选取2020年1月—2021年9月滕州市中心人民医院收治的42例Sanders Ⅳ型跟骨骨折患者作为研究对象,均一期行切开复位内固定术,根据术中是否植骨将其分为研究组和对照组,每组21例。对照组患者均不植骨,研究组患者均植骨,记录并比较两组患者术后并发症、术前术后Bohler角、Gissane角及踝与后足美国足外科协会(AOFAS)评分功能评分。结果两组患者术前、术后3个月跟骨Bohler角、Gissane角及踝与后足AOFAS评分比较,差异无统计学意义（P>0.05）;术后1年,研究组跟骨Bohler角、Gissane角及踝与后足AOFAS评分均高于对照组,差异有统计学意义（P<0.05）;两组并发症发生率比较,差异无统计学意义（P>0.05）。结论 Sanders IV型跟骨骨折患者一期开放复位内固定并进行植骨在远期功能恢复上优于不植骨。

关键词: 跟骨骨折、Sanders分型、植骨

Abstract: Objective Toinvestigate the clinical effect of primary open reduction plate internal fixation in the treatment of Sanders type IV calcaneal fracture with bone grafting and without bone grafting. Methods 42 cases of Sanders type IV calcaneal fracture treated from January 2020 to September 2021 were reviewed, all of which underwent open reduction and internal fixation in one stage. They were divided into two groups according to whether bone grafting was performed during the operation, with 21 cases in each group. The control group did not have bone grafting while the study group had bone grafting. Preoperative and postoperative AOFAS scores of Bohler Angle, Gissane Angle, ankle and hind foot. Results There were no significant differences in AOFAS scores of calcaneus Bohler Angle, Gissane Angle and ankle and hind foot between the two groups before and 3 months after surgery. One year after operation, the AOFAS scores of Bohler Angle, Gissane Angle, ankle and hind foot of the experimental group were higher than those of the control group. There was no significant difference in the incidence of complications between the two groups. Conclusion The treatment of Sanders type IV calcaneal fracture with open reduction plate and internal fixation can achieve ideal clinical results.

Key words: Calcaneal fracture, Sanders Typing, Bone graft

中图分类号:

R683

杜洪洋, 谢斌, 徐潭潭, 沈铁辉. 一期开放复位内固定治疗Sanders Ⅳ型跟骨骨折临床疗效的探讨[J]. 中华养生保健, 2024, 42(13): 172-175.

DU Hong-yang, XIE bin, XU Tan-tan, SHEN Tie-hui. Clinical Effect of Primary Open Reduction and Internal Fixation in Treatment of Sanders Type IV Calcaneal Fracture[J]. ZHONGHUA YANGSHENG BAOJIAN, 2024, 42(13): 172-175.

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