距下关节镜下桥接棒内固定在跟骨骨折患者中的应用

Application of arthroscopic surgery for patients with calcaneal fractures

摘要:

目的 探讨距下关节镜下桥接棒内固定治疗跟骨骨折的临床疗效。方法 回顾性分析该院2013 年5 月-2016 年3 月38 例行距下关节镜监视下桥接棒内固定治疗跟骨骨折的患者，术后平均随访12 个月， 将术前、术后跟距关节面、Bohler 角和Gissane 角进行分析比较，术后关节功能经Maryland 评分。结果 38 例均获得随访，患者术后跟距关节面平整度较术前明显改善，术前、术后患者的Bohler 角和Gissane 角比较， 差异有统计学意义（P <0.05），经Maryland 评分优良率为86.8%。结论 距下关节镜下桥接棒内固定治疗跟骨 骨折，镜下恢复跟距关节面的平整，创伤小，足部功能恢复满意，是一种较好的微创治疗方法。

Abstract:

Objective To study the clinical efficacy of bridge baton fixation with arthroscopic surgery in treatment of calcaneal fractures. Method From May 2013 to November 2014, 18 cases suffered from calcaneal fracture with arthroscopic surgical bridge baton fixation treatment in our hospital served as the object of the study. They were retrospectively analyzed during preoperative, postoperative the joint surface, the Bohler angle and Gissane angle , mean follow-up of 12 months, Maryland Foot Score were compared by the analysis. Results All cases were followed up for 12 months averagely. Joint surface flatness of 18 cases were significantly improved, Bohler angle, Gissane angle were also significant differences (P < 0.05). The excellent rate of Maryland score was 86.8%. Conclusion The bridge baton fixation with arthroscopic surgery for treatment of calcaneal fractures is certain effective and minimally invasive. Arthroscopy can restore the articular surface. The foot function recovery of the patients is satisfied.