【摘要】 【目的】探讨"辨型论治"治疗跟骨骨折的微创内固定术式,并观察其疗效。【方法】选取63例(67侧)跟骨骨折病例,根据分型选取闭合复位经皮钢板/螺钉内固定进行治疗。【结果】共59例患者获得9~18个月的随访,术后跟骨B觟lher角和Gissane角大部分恢复良好,除经皮钢板治疗中SandersⅣ型的Gissane角外,其余各型与术前比较差异均有统计学意义(P<0.05)。根据Creighton-Nebraska跟骨骨折评分标准,钢板与螺钉病例术后功能评分优良率分别为81.82%和82.76%,差异无统计学意义(P>0.05)。【结论】"辨型论治"治疗跟骨骨折结果满意,疗效确切,推广价值较高。更多还原

【Abstract】 Objective To introduce the techniques of percutanceous minimally-invasive plate/hollow screw osteosynthesis for the treatment of calcaneal fractures and to evaluate their clinical effects. Methods Sixty-three( involving 67 feet) calcaneal fracture patients were treated by closed reduction and percutanceous minimally-invasive fixation with plate or hollow screw based on the results of Sanders classification. Results Fifty-nine calcaneal fracture patients were followed up for 9 to 18 months after treatment. The Blher angle and Gissane angle of the calcaneus recovered well in most of the postoperative patients, and the differences were significant(P<0.05 compared with those before operation) except the Gissane angle of Sanders Ⅳ calcaneal fracture patients treated with percutanceous minimally-invasive plate osteosynthesis. The results of Creighton-Nebraska scoring showed that excellent and good rate was 81.82% for minimally-invasive plate osteosynthesis and was 82.76% for minimally-invasive hollow screw osteosynthesis, the difference being insignificant( P > 0.05). Conclusion Minimally-invasive internal fixation based on Sanders classification shows certain therapeutic effect for calcaneal fractures.更多还原