[1]杨英果,王晓民,班兴平.内外侧联合弧形切口切开复位内固定治疗复杂跟骨骨折[J].中医正骨,2015,27(06):51-53.
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内外侧联合弧形切口切开复位内固定治疗复杂跟骨骨折()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第27卷
期数:
2015年06期
页码:
51-53
栏目:
临床报道
出版日期:
2015-06-30

文章信息/Info

作者:
杨英果王晓民班兴平
江苏省泗洪县人民医院,江苏 泗洪 223900
关键词:
跟骨 骨折固定术 内外侧联合切口
摘要:
目的:探讨内外侧联合弧形切口切开复位内固定治疗复杂跟骨骨折的临床疗效和安全性。方法:2007年7月至2013年12月, 采用内外侧联合弧形切口切开复位内固定治疗复杂跟骨骨折患者35例,男26例,女9例。年龄23~53岁,中位数36岁。均为闭合性 骨折,其中单侧34例,双侧1例。骨折按照Linsenmaier分型,Ⅱ型8例、Ⅳ型11例、Ⅴ型14例、Ⅵ型2例。受伤至手术时间7~12 d, 中位数9 d。术后随访观察骨折愈合、并发症发生及踝关节功能恢复情况。结果:所有患者均获随访,随访时间12~48个月,中位 数19个月。骨折均愈合,愈合时间11~15周,中位数12周。均无切口感染、皮肤坏死、腓肠神经损伤、骨折延迟愈合或不愈合等 并发症发生。根据美国足与踝关节协会踝与后足功能评分标准评价疗效,优22例、良10例、可3例。结论:内外侧联合弧形切口切 开复位内固定治疗复杂跟骨骨折,骨折愈合率高、并发症少、踝关节功能恢复好,值得临床推广应用。

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备注/Memo

备注/Memo:
2015-01-08收稿 2015-02-26修回
更新日期/Last Update: 2015-06-30