[1]于 洋.克氏针撑开器辅助钢板内固定治疗跟骨关节内骨折的效果[J].医学信息,2022,35(21):95-97.[doi:10.3969/j.issn.1006-1959.2022.21.022]
 YU Yang.Effect of Kirschner Wire Distractor Assisted Plate Internal Fixation in Treatment of Intra-articular Calcaneal Fractures[J].Journal of Medical Information,2022,35(21):95-97.[doi:10.3969/j.issn.1006-1959.2022.21.022]
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克氏针撑开器辅助钢板内固定治疗跟骨关节内骨折的效果()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
35卷
期数:
2022年21期
页码:
95-97
栏目:
临床研究
出版日期:
2022-11-01

文章信息/Info

Title:
Effect of Kirschner Wire Distractor Assisted Plate Internal Fixation in Treatment of Intra-articular Calcaneal Fractures
文章编号:
1006-1959(2022)21-0095-03
作者:
于 洋
(天津市蓟州区人民医院骨科,天津 301900)
Author(s):
YU Yang
(Department of Orthopedics,Tianjin Jizhou District People’s Hospital,Tianjin 301900,China)
关键词:
克氏针撑开器辅助钢板内固定跟骨关节内骨折
Keywords:
Kirschner wire spreaderAuxiliary plateInternal fixationCalcaneusIntra-articular fracture
分类号:
R687.3
DOI:
10.3969/j.issn.1006-1959.2022.21.022
文献标志码:
A
摘要:
目的 观察克氏针撑开器辅助钢板内固定治疗跟骨关节内骨折的临床疗效。方法 选取2020年8月-2021年8月在我院诊治的56例跟骨关节内骨折患者为研究对象,采用随机数字表法分为对照组和观察组,各28例。对照组单纯给予钢板内固定治疗,观察组采用克氏针撑开器辅助钢板内固定治疗,比较两组骨折恢复优良率、跟骨长度、宽度和高度、跟骨形态指标、骨折愈合时间、踝关节功能评分及并发症发生率。结果 观察组骨折恢复优良率为92.86%,高于对照组的82.14%(P<0.05);观察组跟骨长度、高度均大于对照组、宽度小于对照组(P<0.05);两组 Gissane角、Bohler角均高于治疗前,且观察组高于对照组(P<0.05);观察组骨折愈合时间短于对照组,踝关节功能评分高于对照组(P<0.05);观察组并发症发生率为7.14%,低于对照组的17.86%(P<0.05)。结论 克氏针撑开器辅助钢板内固定治疗跟骨关节内骨折效果确切,具有较高的骨折恢复优良率,可提高踝关节功能评分,改善跟骨形态,缩短骨折愈合时间,降低并发症发生率,值得临床应用。
Abstract:
Objective To observe the clinical effect of Kirschner wire distractor assisted plate internal fixation in the treatment of intra-articular calcaneal fractures.Methods A total of 56 patients with intra-articular calcaneal fractures diagnosed and treated in our hospital from August 2020 to August 2021 were selected as the research objects. They were divided into control group and observation group by random number table method, with 28 cases in each group. The control group was treated with plate internal fixation alone, and the observation group was treated with Kirschner wire distractor assisted plate internal fixation. The excellent and good rate of fracture recovery, calcaneal length, width and height, calcaneal morphology index, fracture healing time, ankle function score and complication rate were compared between the two groups.Results The excellent and good rate of fracture recovery in the observation group was 92.86%, which was higher than 82.14% in the control group (P<0.05). The length and height of calcaneus in the observation group were larger than those in the control group, and the width was smaller than that in the control group (P<0.05). The Gissane angle and Bohler angle of the two groups were higher than those before treatment, and the observation group was higher than the control group (P<0.05). The fracture healing time of the observation group was less than that of the control group, and the ankle function score was higher than that of the control group (P<0.05). The incidence of complications in the observation group was 7.14%, which was lower than 17.86% in the control group (P<0.05).Conclusion Kirschner wire distractor assisted plate internal fixation is effective in the treatment of intra-articular calcaneal fractures. It has a high excellent and good rate of fracture recovery, and can improve ankle function score, improve calcaneal morphology index, shorten fracture healing time and reduce the incidence of complications, which is worthy of clinical application.

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更新日期/Last Update: 1900-01-01