切开复位内固定治疗跟骨骨折

顾月青

【期刊名称】《延边医学》

【年(卷),期】2015(000)010

【摘要】目的：：探讨跟骨锁定板（locking plate,LCP）治疗跟骨关节内骨折手术时机、手术方法和临床效果。方法：采用扩大“L”形外侧入路，切开复位LCP内固定治疗跟骨关节内骨折，患者31例，男30例（单侧29例，双侧1例），女1例，供32足，年龄18~50岁，平均32岁，骨折采用Sanders分型，32足均为闭合骨折。结果：26例获得随访，随访时间6~24个月，5例失访。术前B？hler角＜10°,术后20°～40°；Gissane角＜100°，术后120°～145°；切口25足甲级愈合，1足乙级愈合。术后无撞击，无神经血管损伤等并发症，无骨折移位及内固定失败等情况。按照Maryland足部评分评估，术后功能评价，优13良12中2差0，优良率92.6%。结论：选择合适的手术时机，精细的术中操作，应用LCP治疗跟骨关节内骨折可获得满意的临床效果，利于患者功能恢复。%Objective To evaluate the time,method and the clinical outcome of operative management of displaced intra- articular fractures of the calcaneus with calcaneal locking plate(LCP).Methods Thirty- two fractures in 31 patients(30 male including 1 bilateral ,1 female) were treated with open reduction and internal fixation (ORIF) of intra- articular calcaneal fractures using LCP through an ex-tended L- shaped lateral approach.The average age of thirty- one patients was 32 years (range,18 to 50 years).All fractures