改良跟骨外侧L形切口手术治疗跟骨骨折(1)
 |
| 第1页 |
参见附件。
[摘要] 目的 探讨改良跟骨外侧L形切口的新型入路手术治疗跟骨关节内骨折方法及临床效果。 方法 2008年2月～2011年10月收治跟骨关节内骨折患者46例52侧，均采用改良跟骨外侧L形切口手术治疗，术中骨折复位后常规植骨，选择跟骨解剖型钛板内固定。 结果 随访时间6～18个月，伤口愈合良好，局部皮缘坏死2侧，其中发生感染1侧。骨折平均愈合时间8～16周，按Maryland 足部评分系统进行功能评定，优良率为90.4%。 结论 改良跟骨外侧L形切口手术治疗跟骨关节内骨折能减少术后创缘皮肤坏死、不愈合，减少伤口不愈合引起的跟骨感染等并发症。
[关键词] 跟骨骨折；改良跟骨外侧L形切口；内固定术；切口并发症
[中图分类号] R683.42 [文献标识码] A [文章编号] 1674-4721(2012)07(b)-0029-02
Improved calcaneal lateral L-shaped incision surgery for calcaneal fracture
ZHU Honghai1 HUANG Xinyu2 ZENG Chuhang1 HUANG Xianjiao1
1.Hecheng Town Central Hospital of Heshan City in Guangdong Province, Heshan 529727, China; 2.Department of Orthopedics, People's Hospital of Jiangmen City in Guangdong Province, Jiangmen 529000, China
[Abstract] Objective To investigate the methods and clinical effects of improved calcaneal lateral L-shaped incision new approach for surgical in the treatment of calcaneal intra-articular fractures. Methods Forty six cases of patients(52 sides) with calcaneal intra-articular fractures admitted from February 2008 to October 2011, all received improved lateral calcaneal L-shaped incision surgery, conventional bone graft after intraoperative fractures, then selected calcaneal anatomy titanium plate fixed. Results Follow-up for 6 to 18 months, the wound healed well, local skin flap necrosis occurred in two sides, in which one side of infection. The average healing time was 8 to 16 weeks, function was evaluated according to the Maryland Foot Score, the excellent rate was 90.4%. Conclusion Improved lateral calcaneal L-shaped incision surgery for calcaneal intra-articular fractures can reduce postoperative wound edge skin necrosis and nonunion, and reduce calcaneal infection and other complications caused by wound nonunion.
[Key words] Calcaneal fractures; Improved lateral calcaneal L-shaped incision; Internal fixation; Wound complications
随着建筑等高空作业的发展，跟骨骨折已经是一种常见的骨折，约占全身骨折的2% ......
您现在查看是摘要介绍页，详见PDF附件(2093kb)。