中国组织工程研究 ›› 2015, Vol. 19 ›› Issue (53): 8591-8596.doi: 10.3969/j.issn.2095-4344.2015.53.011

• 骨科植入物 orthopedic implant • 上一篇    下一篇

斯氏针撬拨闭合复位轴向结合横向多枚中空钉内固定修复跟骨骨折

林文琛,林伟东,王育新   

  1. 福建医科大学附属第二医院石狮分院,泉州医学高等专科学校附属医院,福建省石狮市医院,福建省石狮市 362700
  • 收稿日期:2015-11-03 出版日期:2015-12-24
  • 作者简介:林文琛,男,1967年生,福建省安溪县人,汉族,1990年福建医学院毕业,主任医师,主要从事创伤骨科及关节外科方面的研究。
  • 基金资助:
    泉州市科技局资金项目(2013Z117)

Steinmann pin poking closed reduction axial combined with lateral multiple hollow screws internal fixation in repair of calcaneal fractures

Lin Wen-chen, Lin Wei-dong, Wang Yu-xin   

  1. Shishi Hospital, the Second Affiliated Hospital of Fujian Medical University; Affiliated Hospital of Quanzhou Medical College; Shishi City Hospital of Fujian Province, Shishi 362700, Fujian Province, China
  • Received:2015-11-03 Online:2015-12-24
  • About author:Lin Wen-chen, Chief physician, Shishi Hospital, the Second Affiliated Hospital of Fujian Medical University; Affiliated Hospital of Quanzhou Medical College; Shishi City Hospital of Fujian Province, Shishi 362700, Fujian Province, China
  • Supported by:

    the Fund Project of Quanzhou Technology Bureau, No. 2013Z117

摘要:

背景:采用开放性手术治疗跟骨骨折,容易造成较大的创伤。
目的:探索斯氏针撬拨闭合复位轴向结合横向多枚中空钉内固定治疗Sanders Ⅱ、Ⅲ型跟骨骨折的临床效果。
方法:回顾性分析73例Sanders Ⅱ、Ⅲ型跟骨骨折患者的临床资料,按照治疗方法分为常规组(n=36)和实验组(n=37),分别实施常规切开复位内固定治疗和斯氏针撬拨闭合复位轴向结合横向多枚中空钉内固定治疗。
结果与结论:与常规组相比,实验组患者住院天数缩短,住院费用降低,美国足踝创伤协会之足部评分、Böhler角和Gissane角无明显变化,并发症发生率明显下降。表明对Sanders Ⅱ、Ⅲ型跟骨骨折患者实施常规切开复位跟骨板内固定治疗和斯氏针撬拨闭合复位轴向结合横向多枚中空钉内固定治疗可以获得基本相当的临床效果,而斯氏针撬拨闭合复位轴向结合横向多枚中空钉内固定治疗具有住院时间更短、费用更低的明显优势,同时也能有效控制并发症发生。 

关键词: 骨科植入物, 骨植入物, 跟骨骨折, 斯氏针, 撬拨复位, 闭合复位, 中空钉, 内固定, 修复, 跟骨骨折

Abstract:

BACKGROUND: The treatment of calcaneal fractures using open surgery is likely to cause greater trauma.
OBJECTIVE: To explore the clinical effect of steinmann pin poking closed reduction axial combined with lateral multiple hollow screws internal fixation in repair of Sanders II, III type calcaneal fractures.
METHODS: The clinical data of 73 patients with Sanders II, III type calcaneal fractures were retrospectively analyzed and divided into conventional group (n=36) and experimental group (n=37) according to the treatment method. Patients in these two groups were respectively treated with conventional open reduction internal fixation and steinmann pin poking closed reduction axial combined with lateral multiple hollow screws internal fixation.
RESULTS AND CONCLUSION: Compared with the conventional group, the hospital stays of patients in experimental group were shorter, hospital costs reduced. There were no obvious changes in the foot rating from the American Association of Ankle Injuries, Böhler angle and Gissane angle. The incidence of complications was significantly decreased. These results demonstrate that the treatment of Sanders II, III type calcaneal fractures with conventional open reduction and bone plate internal fixation and steinmann pin poking closed reduction axial combined with lateral multiple hollow screws internal fixation can obtain the basic equivalent clinical effect, however, the treatment of steinmann pin poking closed reduction axial combined with lateral multiple hollow screws internal fixation have more obvious advantages, such as a shorter hospital stays, less hospital costs, and also can effectively control the complications. 

中图分类号: