west china medical publishers
Keyword
  • Title
  • Author
  • Keyword
  • Abstract
Advance search
Advance search

Search

find Keyword "跟骨钢板" 3 results
  • 涉及跟距关节的跟骨骨折手术治疗

    目的 总结跟骨钢板内固定治疗涉及跟距关节的跟骨闭合性骨折的临床疗效。 方法 2004 年4 月- 2008 年6 月,采用经足跟部外侧延长的L 形切口显露跟骨,切开复位跟骨钢板内固定治疗高处坠落伤所致涉及跟距关节的跟骨骨折18 例。其中男12 例,女6 例;年龄26 ~ 57 岁,平均37 岁。左侧7 例,右侧11 例。骨折按Sanders 分型:Ⅱ型12 例,Ⅲ型5 例,Ⅳ型1 例。术前常规行跟骨侧位、轴位X线片及CT 检查,骨折均累及距下关节并伴有不同程度移位,Gissane 角及Bouml;hler 角明显减小。受伤至手术时间5 ~ 7 d。 结果 术后3 d 1 例伤口感染,术后5 d 1 例创缘部分缺血坏死,经对症治疗后伤口愈合;余患者切口均Ⅰ期愈合。18 例均获随访,随访时间8 ~ 12 个月,平均10 个月。X 线片示所有患者骨折均达骨性愈合,愈合时间2 ~ 4 个月,平均3 个月。末次随访时Gissane 角及Bouml;hler 角均较术前明显改善。术后8 个月,按Maryland 足部评分标准,获优5 例,良10 例,差3 例,优良率83.3%。 结论 切开复位跟骨钢板内固定是治疗涉及跟距关节的跟骨骨折的一种有效方法。

    Release date:2016-08-31 05:47 Export PDF Favorites Scan
  • TREATMENT OF INTRA-ARTICULAR CALCANEAL FRACTURES USING KIRSCHNER’S WIRE OR CALCANEALPLATE

    To compare the effect and syndrome of treating intra-articular calcaneal fractures using Kirschner’s wire or AO calcaneal plate. Methods From March 2003 to March 2006, 71 cases (86 feet) of intra-articular calcaneal fractures were treated with Kirschner’s wire or AO calcaneal plate. Among them, 39 cases (48 feet) were treated using Kirschner’s wire, male 34, female 5. The age ranged from 15 to 64 years old, 36 on average. The course of illness was from 4 hoursto 10 days. There were 9 double side bone fractures and 30 one side bone fractures. Based on Sanders type, Type II were 40 feet, Type III were 7 feet and Type IV was 1 foot. The other 32 cases (38 feet) were treated using AO calcaneal plate, male 30, female 2. The age ranged from 18 to 55 years old, 33 on average. The course of illness was from 4 hours to 10 days. There were 6 double side bone fractures and 26 one side bone fractures. A total of 31 feet belonged to Sanders Type II, 5 to Type III, and 2 to Type IV. The 12-month follow-up, at least, was carried out in order to valuate the patients. The valuating items included: preoperative and postoperative Bohler’s angle and Gissane’s angle; heel bone height and width(contrast with the opposite side); to judge reposition circs by means of the CT scan and Borden’s judgment; function valuation adopting the American Orthopedic Foot amp; Ankle Society (AOFAS) grade point system. Results Patients with Kirschner’s wire fixed were followed up for 12 to 48 months, and AOFAS score ranged from 75 to 100 points, 90.6 on average. The excellent and good rate was 87.8%. The preoperative Bohler’s angle was from 0 to 10°, 7.8° on average, and postoperative from 30 to 40°, 33.2° on average. The preoperation Gissane’s anglewas 75 to 95°, 84° on average; and postoperative from 115 to 135°, 125° on average. There was significant difference (P lt; 0.05). The postoperative compl ications were that 1 foot was the incision edge shallow putrescence and 1 foot was the needle way infection. Patients with AO calcaneal plate fixed were followed up for 12 to 48 months, and AOFAS score was from 49 to 100 points, 87.5 on average. The excellent and good rate was 81.6%.There was no significant difference between the two groups (P gt; 0.05). The preoperative Bohler’s angle ranged from 0 to 15°, 6.5° on average, and postoperative from 25 to 40°, 30.2° on average. The preoperative Gissare’s angle was 72 to 92°, 80° on average; and postoperative from 115 to 130°, 120° on average. There was significant difference (P lt; 0.05). The postoperative compl ications were that 5 feet were the incision edge shallow putrescence, 1 was the common peroneal nerve hurt, and 1 was the petrous muscle aponeurotic inflammation. Conclusion There is no remarkable difference between the effects of treating intra-articular calcaneal fractures using plate or Kirschner’s wire, but the treatment with Kirschner’s wire is not only much easier and more economical, but has smaller wounds and fewer soft tissue problems.

    Release date:2016-09-01 09:12 Export PDF Favorites Scan
  • Calcaneal plate bridge reconstruction plate for acetabular fracture involving quadrilateral surface via modified Stoppa approach

    ObjectiveTo explore the effectiveness of the calcaneal plate bridge reconstruction plate for acetabular fracture involving quadrilateral surface via modified Stoppa approach.MethodsBetween January 2015 and December 2017, 18 patients with acetabular fracture involving quadrilateral surface were treated with the calcaneal plate bridge reconstruction plate via the modified Stoppa approach. There were 12 males and 6 females. The age ranged from 28 to 63 years (mean, 39 years). The cause of injury was traffic accident in 13 cases and falling from height in 5 cases. According to the Letournel-Judet classification, there were 10 cases of anterior and posterior column fractures, 6 cases of T-shaped fractures, and 2 cases of anterior column and posterior semi-transevere fractures. The interval from injury to operation was 6 to 24 days (mean, 8.6 days). The reduction quality was assessed by postoperative X-ray film and CT according to the criteria proposed by Matta. The hip joint function was assessed by the modified Merled’Aubigné-Postel score.ResultsThe operation time was 120-240 minutes (mean, 165 minutes) and the intraoperative blood loss was 600-1 400 mL (mean, 850 mL). All patients were followed up 18-30 months (mean, 24.5 months). There were 2 cases of the fat liquefaction of abdominal incisions, 3 cases of intraoperative injury of lateral femoral cutaneous nerve, 1 case of lower limb thrombosis, and 1 case of abdominal pain and hematuria due to intraoperative accidental bladder injury. According to the criteria proposed by Matta, the reduction quality rated as anatomic reduction in 12 cases, satisfactory reduction in 5 cases, and unsatisfied reduction in 1 case, and the satisfaction rate was 94.4%. All fractures healed with the healing time of 3-5 months (mean, 3.4 months). During follow-up, no internal fixator loosening, breakage, or fracture displacement occurred. At last follow-up, according to modified Merled’Aubigné-Postel score, hip joint functions rated as excellent in 11 cases, good in 4 cases, fair in 2 cases, and poor in 1 case. The excellent and good rate was 83.3%.ConclusionApplication of calcaneal plate bridge reconstruction plate via the modified Stoppa approach for the acetabular fracture involving the quadrilateral surface can obtain satisfactory effectiveness.

    Release date:2020-11-02 06:24 Export PDF Favorites Scan
1 pages Previous 1 Next

Format

Content