【摘要】 目的:探讨经跗骨窦入路、跟骨锁定钢板外固定治疗跟骨关节内骨折临床疗效。方法:自2011年7月至2012年8月,采用经跗骨窦入路小切口切开复位、跟骨锁定钢板置于皮外固定治疗跟骨关节内骨折12例(13足),其中男10例,女2例;年龄25～48岁,平均35岁。骨折根据Sanders分型:Ⅱ型7足,Ⅲ型6足。比较手术前后跟骨B觟hler角、Gissane角,并按照Maryland足部评分系统对疗效进行评价。结果:12例均获得随访,时间6～14个月,平均10个月。术后无切口皮肤并发症;骨折愈合时间3～6个月,平均4个月。B觟hler角由术前(11.19±5.69)°提高至术后(30.13±7.52)°;Gissane角由术前(108.31±10.35)°提高至术后(118.99±8.94)°。按照Maryland足部评分系统:优8足,良3足,可2足。结论:经跗骨窦入路、跟骨锁定钢板外固定治疗跟骨关节内骨折,复位效果确切,固定牢固,可早期手术,手术损伤小,并发症少,是治疗SandersⅡ、Ⅲ型跟骨关节内骨折的一种有效方法。更多还原

【Abstract】 Objective:To investigate the clinical results and the superiority of minimally invasive sinus tarsi approach and external fixation with calcaneal locking plates for the treatment of the intra articular calcaneal fracture. Methods:From July2011 to August 2012,12 cases(13 feet) were treated by sinus tarsi approach and external fixation with calcaneal locking plates. There were 10 males and 2 females,aged from 25 to 48 years old(means 35 years old). According to Sanders classification system,there were 7 feet with type Ⅱ,6 feet with type Ⅲ. The Bhler angle and Gissane angle were compared before and after operation. The clinical results were evaluated with the Maryland foot score system. Results:All 12 cases were fol- lowed up from 6 to 14 months(means 10 months). There were no incision complications. Fracture healing time was from 3 to 6 months(means 4 months). The Bhler angle increased from preoperative(11.19±5.69)° to postoperative(30.13±7.52)°; The Gissane angle increased from preoperative(108.31±10.35)° to postoperative(118.99±8.94)°. According to Maryland foot score system,8 feet got an excellent result,3 good,2 fair. Conclusion:Open reduction by sinus tarsi approach and external fixation with calcaneal locking plates is an effective method for treatment of Sanders Ⅱ, Ⅲ calcaneal fracture. It can obtain good reduction and stable fixation with minimal invasion and lower complications.更多还原