| 吴本文,朱聪,江惠祥,等.跗骨窦小切口微创经皮钢板内固定治疗Sanders Ⅲ、 Ⅳ型跟骨关节内骨折的疗效分析.骨科,2020,11(5): 372-375. |
| 跗骨窦小切口微创经皮钢板内固定治疗Sanders Ⅲ、 Ⅳ型跟骨关节内骨折的疗效分析 |
| Effectiveness of operation through minimally invasive percutaneous plate osteosynthesis via small tarsal sinus incision for Sanders Ⅲ-Ⅳ intra-articular calcaneal fracture |
| 投稿时间：2020-03-08 |
| DOI：10.3969/j.issn.1674-8573.2020.05.005 |
| 中文关键词: 跟骨骨折 跗骨窦入路 微创经皮钢板内固定 |
| 英文关键词: Calcaneal fracture Sinus tarsi approach Minimally invasive percutaneous plate osteosynthesis |
| 基金项目:军队医学科技青年培育项目（19QNP046）；军队后勤科研项目（CNJ16C013） |
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| 中文摘要: |
| 目的 探讨跗骨窦小切口微创经皮钢板内固定（minimally invasive percutaneous plate osteosynthesis, MIPPO）技术治疗Sanders Ⅲ、Ⅳ型跟骨关节内骨折的临床疗效。方法 回顾性分析2018年1月至2018年12月我院通过跗骨窦小切口MIPPO技术治疗的32例Sanders Ⅲ、Ⅳ型跟骨关节内骨折病人的临床资料，其中男22例，女10例，年龄为（39.29±9.75）岁。致伤原因：高处坠落26例，交通事故伤6例。Sanders Ⅲ型21例，Sanders Ⅳ型11例。比较术前、术后即刻及术后1年三个时间点的Böhler角及Gissane角，应用Maryland足功能评分评价术后功能。结果 所有病人均于伤后3~5 d完成手术，未见软组织并发症。术后即刻Böhler角为32.54°±2.76°，Gissane角为121.56°±4.98°；术后1年Böhler角为31.72°±2.54°，Gissane角为120.50°±6.03°，术后即刻及术后1年的Böhler角及Gissane角均较术前明显改善（P均＜0.05），术后1年Maryland足功能评分为（78.69±6.19）分。结论 跗骨窦小切口MIPPO技术是治疗Sanders Ⅲ、Ⅳ型跟骨关节内骨折的有效办法，临床疗效满意。 |
| 英文摘要: |
| Objective To analyze the effectiveness of operation through minimally invasive percutaneous plate osteosynthesis (MIPPO) via small tarsal sinus incision for Sanders Ⅲ-Ⅳ intra-articular calcaneal fracture. Methods The clinical data of 32 patients with Sanders Ⅲ-Ⅳ intra-articular calcaneal fracture undergoing operation through MIPPO technique using small tarsal sinus incision from January 2018 to December 2018 were retrospectively analyzed. There were 22 males and 10 females, with the age of (39.29±9.75) years. A total of 26 cases were falling from height and 6 cases were injured by traffic accident. There were 21 cases of Sanders Ⅲ and 11 of Sanders Ⅳ. The Böhler angle and Gissane angle pre-operation, post-operation and one year after operation were compared. Maryland score was used to evaluate foot function. Results All the patients completed operation within 3-5 d after injury. No complication of tissue appeared. The Böhler angle and Gissane angle post-operation were 32.54°±2.76° and 121.56°±4.98° respectively. And Böhler angle and Gissane angle one year after operation were 31.72°±2.54° and 120.50°±6.03° respectively. All the Böhler angle and Gissane angle post-operation and one year after operation were significantly improved as compared with those pre-operation (all P＜0.05). The Maryland score one year after operation was 78.69±6.19. Conclusion Operation through MIPPO technique using small tarsal sinus incision is a good surgical program for Sanders Ⅲ-Ⅳ intra-articular calcaneal fracture, with satisfied clinical effect. |
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