切开复位跟骨锁定板内固定治疗对骨关节内移位骨折的临床疗效探讨

摘要

Objective To analyze the application and value of open reduction and locking plate fixation in the treatment of patients with displaced intra-articular calcaneal fractures. Methods 50 patients with displaced intra-articular calcaneal fracture admitted to our hospital between July 2012 and November 2013 were selected as the research objects. All of them were given fracture re-duction through a L-shaped lateral modified incision and locking plate fixation. Therapeutic effects of them were analyzed. Results Surgery, bohler angle in all patients with gissane angle compared with the preoperative compared to both the recovery (P<0.05), no significant pain, and all patients received 3 to 36 months of follow-up, and postoperative joint functional scores, there are 28 cases of excellent, 15 cases of benign and good rate was 94%. Conclusion For patients with displaced intra-articular calcaneal fractures, open reduction and locking plate fixation has obvious therapeutic effect, in which timing of surgery and non-invasive incision op-eration are key factors.%目的：分析切开复位联合锁定板内固定疗法在治疗临床跟骨关节内移位性骨折患者中的应用及其价值。方法随机抽取该院在2012年7月-2013年11月收治的50例跟骨内移位骨折患者作为该次研究观察对象，对所有患者行改良之后的跟骨外侧扩大“L”型切口进行骨折复位，进而用跟骨锁定板进行固定处理，并分析其治疗效果。结果术后，所有患者的Bohler角与Gissane角较术前相比，均有所恢复(P<0.05)，无明显疼痛，且所有患者均获得了3~36个月的随访，并对术后关节功能评分，有28例为优，15例为良，优良率为94%。结论对于临床上跟骨关节内出现移位型骨折的患者，在对其行切开复位之后再利用跟骨锁定板进行内固定，可取得较明显治疗效果，且手术时机的把握与切口的无创操作也是提高治疗效果的关键所在。