闭合手法联合斯式针撬拨复位治疗跟骨骨折68例

摘要

[Objective] To discuss the clinical effect of occlusion manipulation combined with close needle prying reposition on calcaneal fracture. [Method] Make occlusion manipulation combined with close needle prying reposition on 68 cases of calcaneal fracture(80 feet) of Sanders typesⅡ and Ⅲ, and make assessment to the function after therapy with Maryland foot score standard. [Result] Al cases were fol owed up for 9m, with bone cure, angle Bohler>30°, without the complications of needle infection, arch col aps and subtalar joint pain, could walk normal y, without limp. Under Maryland foot score stan-dard, 58 feet were excellent, 13 good, 8 so so, 1 was bad, the excellence rate 88.7%(68/80). [Conclusion]The occlusion manipulation combined with close needle prying reposition treating calcaneal fracture had little trauma and post-operation complications, simple operation and satisfying result, being one of ideal therapies of such diseases.%[目的]探讨闭合手法联合斯式针撬拨复位治疗跟骨骨折的临床效果。[方法]选取2009年6月至2012年3月在本院就诊的SandersⅡ型、Ⅲ型68例（80足）跟骨骨折患者，采用闭合手法联合斯式针撬拨复位治疗，并按Maryland足部评分标准对患者治疗后功能进行评估。[结果]68例患者术后随访9个月，均骨性愈合，Bohler角＞30°，未见针道感染、足弓塌陷、距下关节痛等并发症，能正常行走，无跛行。按Maryland足部评分标准评价治疗后功能，优58足，良13足，可8足，差1足，优良率达88.57％。[结论]闭合手法联合斯式针撬拨复位治疗跟骨骨折手术具有微创、操作简便、创伤小、术后并发症少的特点，疗效满意，为治疗跟骨骨折理想的治疗方法之一。