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1、可注射型人工骨联合撬拨复位穿针治疗跟骨骨折的初步报告:!垒文章编号:swgk2007—02.0020生物骨科材料与,16床研究OI~HOPAEOICRIOMECI~NICSMATERIALSANDCUNW.~STUDY20O7年06月第4卷第3期可注射型人工骨联合撬拨复位穿针治疗跟骨骨折的初步报告涂意辉薛华明杜靖远蔡珉巍杨安礼[摘要]目的探讨可注射型人工骨联合撬拨复位穿针固定治疗跟骨骨折的疗效.方法2005年7月～2006年l1月收治单侧跟骨骨折患者8例,运用微创小切口植骨联合经皮撬拨复位穿针固定治疗,男5例,女3例;年龄2l～6O岁,平均年龄42岁;高处坠落伤4例,车祸伤2
2、例,其它2例;8例患侧x线测量Bohler角,一r～1O.,平均2..Gissane角82.～100.,平均92.36.;SandersII型6例(IIA3例,IIB3例),III型2例(III~1例,IIIAC1例).结果所有8例获得完整随访,随访时间为8～l5月,平均12.3月.术后并发症发生率为12.5%(1/8).Bohler角改善大于l8～25.,Gissane角改善大于3O～35..按照AOFAS踝与后足功能评分系统评价术后患足功能,本组优(90～100分)6例,良(75～89分)2例,均获得骨性愈合.所有8例术后均未发生皮肤坏死,血肿,深部感染等并发症.结论采用
3、可注射型人工骨联合撬拨复位穿针固定治疗跟骨关节内骨折,足部功能恢复满意,并且并发症少.[关键词]跟骨骨折;可注射型人工骨;撬拨复位;骨折固定术,内[中图分类号]R683.42[文献标识码]BThepreliminaryreportofinjectalebonegraftcombinedwithpercutaneonsreductionbyleverageandfixationofSteinmannspinforthetreatmentofcalcanealfractureTuYihui1r:CueHuamingIrDuJingyuan2,ctaL1.DepartmentofO
4、rthopaedics.YangpuDistrictCentralHospital,Shanghai200090.2.DepartmentofOrthopaedics,TheunionhospitalofTongfimedicaluniversity,Wuhan43oo22[Abstract】0bjectiveTodiscusstheeffectsofinjectalebonegraftcombinedwithpercutaneousreductionbyleverageandfixationofSteinmannspinforthetreatmentofcalcanealf
5、racture.Methods8patientswithunilat-eralintra??articularcalcanealfractureweretreatedwiththemethodofmini-incisioncombinedwithpercutaneousre??ductionbyleverageandaxialfixationofSteinmannspinfromJune2005toNovember2006.5casesweremalesand3werefemales.Theaveragewas42years(range,21-60years).Themech
6、anismofinjurywasfallin4cases,vehicleaccidentin2casesandotherin2cases.Thepreoperativex-rayshowedBohleranglewas一1.tol0.(mean2.),Gissaneanglewas82~to100.(mean92.36.).AccordingtoSandersclassification,6casesweretypeIIfractures(3typeIIA,3typeIIB),2casesweretypeIIIfractures(1typeIIIAB,1typeIIIAC).
7、ResultsAllcaseswerefolioweduDfrom8tol5months(meanl2.3months).Thecomplicationratereachedl2.5%(1/8).TheimprovementofBohlerangleexceeded18.to25.andthatofGissaneangleexceeded30.to35..Accordingtotheankle.hindfootscoreofAmericanOrthopedicFootandAnkleSociety(AO
