异形锁定钢板内定加植骨术治疗跟骨骨折sandersⅲ、ⅳ型的临床观察.pdf

Shaped locking plate fixation and bone graft of calcaneal fracture of Sanders III, IV clinical observation Speciality: Orthopedics of TCM Author: Jiang Zewei Tutor: Professor: Meng Kai Abstract Objective: special-shaped locking plate and bone graft in the treatment of Sanders, III type IV, type calcaneal fractures, clinical observations, and summarize its efficacy. Method: The case selected from Hospital of Shandong University of Traditional Chinese Medicine since March 2010 to March 2011, meet the standards 34 cases (40 feet) were retrospectively analyzed. Lateral calcaneal L shaped incision, the locking plate fixation and bone grafting. Positive follow-up after 12 to 18 months, an average of 14 months. By the opponents postoperative Bohlers angle, Gissanes angle measurement, fracture healing time of evaluation, the evaluation of foot function score of the affected foot Maryland ,come to the clinical efficacy of the surgical approach. Results: 34 cases (40 feet) of calcaneal fractures incision healed well 31 feet, two-foot blade edge necrosis healed after changing dressing, a foot knife-edge delay healing. All fractures healed, and the average healing time of 15.6 weeks. After review of the X-ray measuring Bohlers angle, angle Gissanes satisfactory. Maryland foot score excellent cases of 20 good 11 cases of 8 cases and poor in 1 case, the total rate of 77.50%. Conclusions: Perioperative management, select the appropriate timing of surgery, to acquire the necessary surgical techniques, special-shaped locking plate fixation and bone grafting treatment Sanders, III, IV-type calcaneal fractures can achieve good results. Keywords Calcaneal