吴文特,陈志伟,廖瑛,李春.距下关节融合术治疗跟骨骨折后距下关节炎.[J].中南医学科学杂志.,2011,39(4):435-437.
距下关节融合术治疗跟骨骨折后距下关节炎
Treatment of Subtalar Arthritis After Calcaneal Fracture by Ttalocalcaneal Arthrodesis
投稿时间:2011-01-07  
DOI:
中文关键词:  跟骨  骨折  距下关节炎
英文关键词:Calcaneal  Fractures  subtalar arthritis
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作者单位
吴文特,陈志伟,廖瑛,李春 南华大学第一附属医院 骨科湖南 衡阳 421001 
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中文摘要:
      目的探讨距下关节融合术治疗跟骨骨折后距下关节炎的效果。方法2009年9月~2010年5月,行距下关节融合术治疗5例5足,均为男性,年龄29~50岁,平均39.25岁,跟骨骨折后9~36个月,平均23.4个月。按Zwipp跟骨畸形愈合分型均为Ⅲ型。结果5例5足皮肤切口一期愈合。随访时间3~10个月,平均7.4个月,完全负重时间为3个月。按美国足踝外科协会Maryland足评分系统评价手术前、后的功能:术前为42分,术后为81分,平均改善39分。结论手术选择合适病例,行距下关节融合术治疗跟骨骨折后距下关节炎可取得满意效果。
英文摘要:
      ObjectiveTo investigate the clinical results of operative treatment of subtalar arthritis after calcaneal fracture by talocalcaneal arthrodesis.Methods5 feet of subtalar arthritis after calcaneal fracture in 5 patients were treated by means of talocalcaneal arthrodesis from September 2009 to May 2010.All were regular followed up to analyze the clinical effects.ResultsAll 5 patients were followed up for 3months to 10 months,on an average of 7.4 months.According to Maryland foot score,average improvement score was 39 points.ConclusionChoosing the appropriate cases,treating subtalar arthritis by talocalcaneal arthrodesis can get satisfactory clinical results.
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