闭合撬拨复位和开复位内固定治疗sandersⅱ、ⅲ型跟骨骨折的疗效比较.pdfVIP

The comparison of curative effect of closed reduction with poking and open reduction with internal fixation in the treatment of SandersⅡⅢ calcaneal fractures Speciality:Orthopedics of TCM Author:Xiao Meng Tutor:Prof Li Jingyin Abstract Objective: To discussion the Pathological mechanism, classification and treatment methods for the calcaneal fractures.Compare the clinical curative effect of closed reduction with poking and open reduction with internal fixation in the treatment of SandersⅡⅢ calcaneal fractures.To provide the basis of the choice in the clinical treatment.Methods: To collect 50 cases of SandersⅡⅢ calcaneal fractures from Oct. 2009 to oct. 2011 in orthopaedic of Shandong TCM hospital. The treatment group included 25 cases,and control group included 25 cases.The treatment group was treated by open reduction anatomy plate fixation.The contrl group was treated by Gram needle closed reduction with poking,and was Cooperated with manual reduction and plaster immobilization and functional exercise therapy.All patients were followed-up 6-13 months,9 months average. The dates followed-up will be statistical analysis,in order to analyze the two treatment regimens in the treatment efficacy of calcaneal fractures.Results: Satisfactory results were availed after surgery in both of the gropes.On the aspects of functional recovery and anatomic recovery on imaging angle, the treatment group did get significantly better outcome(P＜0.01)； On the aspects of the surgical complications after operation, the treatment group did not get significantly better outcome than the control group(P＞0.05)，but the types of complication were different ； In general comparison(the ho