【摘要】：目的比較經(jīng)跗骨竇間隙空心釘內(nèi)固定與微型鎖定鋼板內(nèi)固定治療跟骨骨折的臨床效果。方法分別采用經(jīng)跗骨竇間隙空心釘內(nèi)固定(空心釘組)及微型鎖定鋼板內(nèi)固定(鎖定鋼板組)治療59例(63足)跟骨骨折患者,其中SandersⅡ型骨折38足、Ⅲ型骨折25足,舌形骨折22足、關(guān)節(jié)壓縮型骨折41足,對(duì)比兩組手術(shù)前與隨訪時(shí)跟骨的高度、寬度以及B9hler角,術(shù)前等待時(shí)間,手術(shù)時(shí)間,住院時(shí)間,術(shù)后并發(fā)癥的發(fā)生率,采用Maryland足部評(píng)分標(biāo)準(zhǔn)評(píng)價(jià)手術(shù)效果。結(jié)果空心釘組手術(shù)時(shí)間較鎖定鋼板組縮短(P0.05);兩組隨訪時(shí)跟骨結(jié)節(jié)高度、跟骨寬度、B9hler角較術(shù)前都有改善(P均0.05),組間比較差異無(wú)統(tǒng)計(jì)學(xué)意義(P均0.05);SandersⅡ型與SandersⅢ型跟骨骨折患足Maryland足部評(píng)分比較,P0.05。舌形骨折患足Maryland足部評(píng)分高于關(guān)節(jié)壓縮型骨折患足(P均0.05)。兩組Maryland足部評(píng)分比較,P0.05。兩組優(yōu)良率比較,P0.05。舌形骨折患足的優(yōu)良率為100%,高于關(guān)節(jié)壓縮型骨折患足的優(yōu)良率83.3%(P0.01)。兩組并發(fā)癥發(fā)生率比較,P0.05。結(jié)論經(jīng)跗骨竇間隙空心釘內(nèi)固定與微型鎖定鋼板內(nèi)固定治療跟骨骨折,尤其是舌形骨折,療效較好,前者手術(shù)方式可以縮短手術(shù)時(shí)間。
[Abstract]:Objective to compare the clinical effect of transtarsal space hollow nail fixation and mini-locking plate fixation in the treatment of calcaneal fracture. Methods 59 cases (63 feet) of calcaneal fracture were treated with transtarsal space hollow nail (hollow nail group) and mini-locking plate (locking plate group), including 38 cases of type 鈪，

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