经跗骨窦切口结合直型重建钢板治疗跟骨骨折

摘要

Objective To report methods and results of using a sinus tarsi approach combined with internal fixation with straight reconstruction plate in treatment of calcaneal fractures belonged to Sanders Ⅱ and Ⅲ. Methods Nineteen feet in 19 patients with calcaneal fractures belonged to Sanders Ⅱ and Ⅲ were treated with internal fixation with straight reconstruction plate using a sinus tarsi approach from Jan 2013 to Jun 2015, the postoperative Bohler angle and Gissanes angle were compared with the preoperative's by statistical method, maryland foot score was used to evaluate clinical curative effect. Results All patients were followed up from 6 to 17 months (mean 9.6 months), all cases healed successfully, the postoperative roentgenograms showed satisfactory restoration of the Bohler angle and Gissanes angle when comparing with the preoperative data (P<0.05), according to Maryland foot score, the overall good-excellent rate of foot function was 84.2%. Conclusion Using a sinus tarsi approach combined with internal fixation with straight reconstruction plate is a reliable and effective treatment option for calcaneal fractures belonged to Sanders Ⅱ and Ⅲ.%目的 探讨经跗骨窦切口结合直型重建钢板治疗SandersⅡ,Ⅲ型跟骨骨折的临床疗效.方法 回顾性分析2013年1月-2015年6月采用经跗骨窦切口入路结合直型重建钢板内固定治疗的19例19足SandersⅡ,Ⅲ型跟骨骨折病例,对术前、 术后Bohler角及Gissanes角进行统计学比较,采用Maryland后足功能评分标准评价临床疗效.结果 19例术后均获得随访,随访时间6~17个月,平均9.6个月,全部病例手术切口均愈合良好,骨折均达到临床愈合,术后Bohler角、Gissanes角较术前明显恢复(P<0.05),根据Maryland后足评分标准,术后患足关节功能优良率达84.2%.结论 采用经跗骨窦切口入路结合直型重建钢板内固定治疗SandersⅡ,Ⅲ型跟骨骨折,可获得满意的治疗效果.