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段星星,张志刚,李宇卫,陈金飞,刘锦涛.经皮撬拨复位克氏针内固定与跗骨窦入路钢板内固定治疗sandersII型跟骨骨折的临床研究[J].浙江中西医结合杂志,2021,31(6):
经皮撬拨复位克氏针内固定与跗骨窦入路钢板内固定治疗sandersII型跟骨骨折的临床研究
Clinical study of percutaneous reduction with Kirschner wire internal fixation and sinus tarsi approach steel plate internal fixation for sanders type II calcaneal fractures
投稿时间:2020-11-04  修订日期:2021-04-13
DOI:
中文关键词:  跟骨骨折  经皮撬拨复位克氏针内固定  跗骨窦入路
英文关键词:calcaneal fracture  percutaneous prying reduction and Kirschner wire internal fixation  sinus tarsal approach
基金项目:苏州临床重点病种诊疗技术专项项目(LCZX201815)
作者单位E-mail
段星星 南京中医药大学附属苏州市中医医院 d.xx@163.com 
张志刚 南京中医药大学附属苏州市中医医院 d.xx@163.com 
李宇卫 南京中医药大学附属苏州市中医医院  
陈金飞 南京中医药大学附属苏州市中医医院  
刘锦涛 南京中医药大学附属苏州市中医医院  
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中文摘要:
      目的 探讨经皮撬拨复位克氏针内固定与跗骨窦入路钢板内固定治疗sandersII型跟骨骨折的临床疗效。方法 纳入2017-2019年收住我科住院的sandersII型跟骨骨折病人60例。采用随机分组方式分为两组,治疗组30例,采用经皮撬拨复位复位克氏针内固定治疗,对照组30例,采用跗骨窦入路切开复位钢板内固定。比较两组手术出血、手术时间、住院时间,通过术后6月随访记录其AOFAS评分评价其功能恢复,通过X片评估其B?hler 角、Gissane 角、跟骨宽度的改变。结果 两组病人术后恢复满意,在手术出血、手术时间、住院时间上治疗组优于对照组(P<0.05)。术后X片,两组的B?hler 角、Gissane 角、跟骨宽度无统计学差异。术后6月两组AOFAS评分无统计学差异。结论 经皮撬拨复位克氏针内固定与跗骨窦入路钢板内固定均是治疗sandersII型跟骨骨折有效方法,经皮撬拨克氏针内固定手术具有手术时间短、出血少、住院时间短等优势。
英文摘要:
      【Objective】 To investigate the clinical effect of percutaneous reduction with Kirschner wire internal fixation and sinus tarsi approach steel plate internal fixation in the treatment of sanders type II calcaneal fractures. 【Methods】Sixty patients with sanders II type calcaneal fractures admitted to our department from 2017 to 2019 were enrolled. Randomly divided into two groups, 30 cases in the treatment group were treated with percutaneous reduction reduction with Kirschner wire internal fixation, and 30 cases in the control group were treated with sinus tarsi open reduction and steel plate internal fixation. The operation bleeding, operation time, and hospitalization time were compared between the two groups. The AOFAS score was recorded to evaluate the functional recovery through a follow-up 6 months after the operation, and the changes in the B?hler angle, Gissane angle, and calcaneal width were evaluated by X-ray. 【Results】The patients in the two groups recovered satisfactorily, and the treatment group was better than the control group in terms of surgical bleeding, operation time, and hospital stay (P>0.05). Postoperative X-rays showed no significant difference in B?hler angle, Gissane angle, and calcaneal width between the two groups. There was no statistical difference in AOFAS scores between the two groups at 6 months after surgery. 【Conclusion】Percutaneous prying reduction Kirschner wire internal fixation and sinus tarsi approach plate internal fixation are both effective methods for the treatment of sanders type II calcaneal fractures. Percutaneous prying Kirschner wire internal fixation has short operation time, less bleeding, and hospitalization. Advantages such as short time.
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