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编号:10871394
关节内跟骨骨折内固定治疗与并发症
http://www.100md.com 《中国矫形外科杂志》 2005年第22期
骨折固定,,跟骨;骨折固定;并发症,1资料与方法,2结果,3讨论,参考文献:
     摘 要:[目的]提高钢板内固定治疗关节内跟骨骨折的手术疗效、减少手术并发症。[方法]对跟骨骨折行切开复位钢板内固定治疗的51例患者进行随访,并对出现的并发症进行回顾性分析。[结果]51例56足中,47足骨折愈合优良,6足术后发生复位不佳、畸形愈合、切口延迟愈合、感染等并发症,发生率为11.7%。[结论]切开复位钢板内固定可作为治疗波及距下关节跟骨骨折的主要方法,术中注意操作细节、解剖复位可以减少并发症。

    关键词:跟骨;骨折固定;并发症

    The treatment of intraarticular calcaneal fractures with interal fixation and the following complications

    PAN Yongtai, XU Shijian, ZHENG Wenzhong, et al.

    The first Department of Orthopeadics, 180 Hospital of PLA, Quanzhou 362000,China. Zhangqiulin,Wangqiugen. Department of Orthopeadics, Changhai hospital, Second Military Medical University, Shanghai 200433

    Abstract:[Objective]To study how to decrease the complications and improve efficacy of the open reduction and internal fixation(ORIF) with plate for intraarticular calcaneal fractures.[Method]Fiftyone patients(56 feet),treated with ORIF, were followed up for 6 to 36 months, and the associated complications were analyzed retrospectively.[Result]Complications were found in 6 cases, including postoperative wound dehiscence in 2(infection in 1), malunion(failure to achieve reduction ) in 4.The percentage of complication was 11.7%.[Conclusion]ORIF with plate could be the main treatment for intraarticular calcaneal fractures. Should attention be paid to the detail skill and anatomical reduction, many complications could be avoided. ......

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