[1]娄磊,倘艳锋,马源,等.跗骨窦入路平乐郭氏正骨旋撬法复位钢板内固定治疗SandersⅡ、Ⅲ型跟骨骨折[J].中医正骨,2023,35(04):62-64,69.
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跗骨窦入路平乐郭氏正骨旋撬法复位钢板内固定治疗SandersⅡ、Ⅲ型跟骨骨折()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第35卷
期数:
2023年04期
页码:
62-64,69
栏目:
临床报道
出版日期:
2023-04-20

文章信息/Info

作者:
娄磊倘艳锋马源苏攀
(河南省洛阳正骨医院/河南省骨科医院,河南 洛阳 471002)
关键词:
跟骨 骨折 骨折固定术 跗骨窦入路
摘要:
目的:观察跗骨窦入路平乐郭氏正骨旋撬法复位钢板内固定治疗SandersⅡ、Ⅲ型跟骨骨折的临床疗效和安全性。方法:2018年6月至2021年6月,采用跗骨窦入路平乐郭氏正骨旋撬法复位钢板内固定治疗SandersⅡ、Ⅲ型跟骨骨折患者40例。男39例,女1例。年龄21~60岁,中位数45岁。左足22例,右足18例。按照Sanders分型标准,Ⅱ型28例、Ⅲ型12例,均为闭合性跟骨骨折。受伤至手术时间3~10 d,中位数4 d。术后随访观察骨折愈合、跟骨形态恢复、踝与后足功能恢复及并发症发生情况。结果:本组患者均获随访,随访时间11~20个月,中位数13个月。骨折均愈合。B?hler角,术前13.42°±3.50°、术后1周31.75°±2.13°; Gissane角,术前103.20°±8.59°、术后1周125.70°±4.96°。末次随访时,美国足与踝关节协会踝与后足功能评分为(89.22±3.61)分。5例患者出现距跟关节僵硬,均未给予特殊处理; 所有患者均未发生感染、皮肤坏死等并发症。结论:跗骨窦入路平乐郭氏正骨旋撬法复位钢板内固定治疗SandersⅡ、Ⅲ型跟骨骨折,骨折愈合好,可恢复跟骨正常形态、促进踝与后足功能恢复,且并发症少。

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(收稿日期:2022-11-11 本文编辑:时红磊)

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备注/Memo

备注/Memo:
通讯作者:苏攀 E-mail:su15837979566@163.com
更新日期/Last Update: 1900-01-01