简介:目的:探讨切开复位跟骨锁定钢板内固定结合同种异体骨治疗SanderⅢ、Ⅳ型跟骨骨折的疗效。方法:自2014年4月至2015年12月,在我科选取SandersⅢ、Ⅳ型跟骨骨折患者43例,这些患者均采用切开复位、锁定钢板固定、植入同种异体骨治疗,术前术后选用Maryland评分进行评估。结果:术后切口均愈合良好。43例均获随访,时间(20.8±5.1)个月(12~30个月)。未发现关节面塌陷、复位丢失、螺钉固定不良现象。功能及疗效按照Maryland评分系统评价:优28例,良11例,可4例,优良率为90.1%。结论:跟骨锁定钢板内固定结合同种异体骨治疗SanderⅢ、Ⅳ型跟骨骨折效果良好。
简介:目的探讨跟骨骨折内固定术后慢性跟骨骨髓炎伴溃疡或皮肤缺损的治疗方法及疗效评估。方法1999年2月~2005年6月收治跟骨骨折内固定术后慢性跟骨骨髓炎伴溃疡或皮肤缺损17例患者采用清除病灶,根据死腔部位及大小选择设计不同的带血管蒂肌皮瓣或皮瓣填允覆盖,一期消灭死腔,改善局部血运,覆盖创面,并于皮瓣覆盖的上、下部分别将冲洗及引流管置入原死腔部位进行持续冲洗治疗。结果全部患耆获得3个月~3年(平均25个月)的随访,术后移植组织全部成活,骨髓炎无复发,足跟部皮瓣外形良好,13例感觉恢复好,耐磨擦能力尚可,能够负重。结论组织移植并持续冲洗的治疗方法具有手术操作简单、供区损伤小、成功率高和疗效好等优点,是治疗跟骨骨折内固定术后慢性跟骨骨髓炎伴溃疡或皮肤缺损的理想方法。
简介:目的:探讨跟骨解剖钢板治疗SandersⅡ、Ⅲ、Ⅳ型跟骨骨折的疗效。方法:2004年11月-2009年1月,对有完整资料的27例32足关节面移位的跟骨骨折,采用扩大的外侧“L”形入路行切开复位植骨解剖钢板内固定治疗。anders分类:Ⅱ型4足,Ⅲ型22足,Ⅳ型6足。结果:所有患者术后获6-48个月(平均22.9个月)随访,骨折全部愈合。按Maryland足部评分标准评价手术效果:优20足,良7足,可5足,优良率84%。术后并发切口延迟愈合1例,无感染及皮肤坏死发生。结论:一期植骨,开放复位可塑形跟骨钛板内固定,术后早期关节功能锻炼,是治疗严重粉碎性骨折的良好方法。
简介:目的:分析18例23足跟骨骨折的的手术治疗效果,探讨跟骨钛钢板在涉及跟距关节面骨折治疗中的临床应用.方法:1999年3月~2003年6月,我院收治18例23足涉及跟距关节面的跟骨骨折,男13例16足,女5例7足;年龄23~68岁,平均37.8岁.高处坠伤14例19足,车祸伤4例4足,均行切开复位,跟骨钛钢板内固定,骨缺损区均行异体骨植骨.平均随访时间18月(11~48月).结果:按MarylandFootScore[1]跟骨骨折评分系统进行评价:优13足,良7足,可3足;优良率86.9%.结论:涉及关节面的跟骨骨折手术疗效良好,应积极采取手术治疗方式.跟骨钛钢板适合跟骨解剖形态,在跟骨骨折的手术治疗中有明显优势.
简介: [摘要 ] 目的 分析应用外置解剖型跟骨锁定钢板治疗跟骨骨折患者的护理。 方法 选取 2018年 6月~ 2020年 1月我院收治的 94例采用外置解剖型跟骨锁定钢板治疗的跟骨骨折患者予以分组,按照硬币法分为对照组和研究组,每组 47例。对照组实施常规护理,研究组实施综合护理干预,观察比较两组临床护理效果、并发症情况、护理满意度及相关知识掌握程度。 结果 对照组优良率、护理满意度均明显低于研究组,组间差异具有统计学意义( P<0.05);研究组并发症发生率低于对照组,组间具有统计学差异( P<0.05)。研究组应用外置解剖型跟骨锁定钢板治疗跟骨骨折后相关知识掌握程度与对照组患者比较,获得明显改善( P<0.05)。 结论 对应用外置解剖型跟骨锁定钢板治疗跟骨骨折患者开展护理干预,可显著提高临床疗效和护理满意度,改善足关节功能,减少并发症,值得临床采纳和大力推广。 [关键词 ] 跟骨骨折;外置解剖型跟骨锁定钢板;护理; 满意度 [Abstract] Objective To analyze the nursing of patients with calcaneal fracture treated by external anatomical calcaneal locking plate. Methods from June 2018 to January 2020, 94 cases of calcaneal fracture treated with external anatomical calcaneal locking plate were divided into two groups, 47 cases in each group. Routine nursing was performed in the control group and comprehensive nursing intervention was performed in the study group. Results the excellent rate and nursing satisfaction of the control group were significantly lower than that of the study group, the difference between the groups was statistically significant (P < 0.05); the incidence of complications in the study group was lower than that of the control group, and the difference between the groups was statistically significant (P < 0.05). Compared with the patients in the control group, the level of knowledge in the study group was significantly improved (P < 0.05). Conclusion the application of external anatomical calcaneus locking plate in the treatment of calcaneus fracture can significantly improve the clinical efficacy and nursing satisfaction, improve the foot joint function, reduce complications, which is worthy of clinical adoption and promotion.
简介: [摘要 ] 目的 分析应用外置解剖型跟骨锁定钢板治疗跟骨骨折患者的护理。 方法 选取 2018年 6月~ 2020年 1月我院收治的 94例采用外置解剖型跟骨锁定钢板治疗的跟骨骨折患者予以分组,按照硬币法分为对照组和研究组,每组 47例。对照组实施常规护理,研究组实施综合护理干预,观察比较两组临床护理效果、并发症情况、护理满意度及相关知识掌握程度。 结果 对照组优良率、护理满意度均明显低于研究组,组间差异具有统计学意义( P<0.05);研究组并发症发生率低于对照组,组间具有统计学差异( P<0.05)。研究组应用外置解剖型跟骨锁定钢板治疗跟骨骨折后相关知识掌握程度与对照组患者比较,获得明显改善( P<0.05)。 结论 对应用外置解剖型跟骨锁定钢板治疗跟骨骨折患者开展护理干预,可显著提高临床疗效和护理满意度,改善足关节功能,减少并发症,值得临床采纳和大力推广。 [关键词 ] 跟骨骨折;外置解剖型跟骨锁定钢板;护理; 满意度 [Abstract] Objective To analyze the nursing of patients with calcaneal fracture treated by external anatomical calcaneal locking plate. Methods from June 2018 to January 2020, 94 cases of calcaneal fracture treated with external anatomical calcaneal locking plate were divided into two groups, 47 cases in each group. Routine nursing was performed in the control group and comprehensive nursing intervention was performed in the study group. Results the excellent rate and nursing satisfaction of the control group were significantly lower than that of the study group, the difference between the groups was statistically significant (P < 0.05); the incidence of complications in the study group was lower than that of the control group, and the difference between the groups was statistically significant (P < 0.05). Compared with the patients in the control group, the level of knowledge in the study group was significantly improved (P < 0.05). Conclusion the application of external anatomical calcaneus locking plate in the treatment of calcaneus fracture can significantly improve the clinical efficacy and nursing satisfaction, improve the foot joint function, reduce complications, which is worthy of clinical adoption and promotion.