液体骨结合微创内固定治疗跟骨骨折的效果.docVIP

液体骨结合微创内固定治疗跟骨骨折的效果 　　[摘要] 目的 观察液体骨结合微创内固定治疗跟骨骨折的临床效果。 方法 入选2013年3月～2015年1月河北省廊坊市人民医院收治的跟骨骨折患者100例为受试对象，随机分为治疗组（50例）和对照组（50例）。治疗组接受液体骨结合微创内固定治疗，对照组接受传统撬拔复位后克氏针置入内固定术治疗，比较两组手术相关指标、骨折愈合时间、足部功能、并发症等指标。 结果 治疗组术中出血量显著少于对照组，骨折愈合时间、下地活动时间均显著短于对照组（P 0.05）。两组术后感染、延迟愈合或不愈合、创伤性关节炎发生率比较，差异无统计学意义（P 0.05）。 结论 液体骨结合微创内固定治疗跟骨骨折有利于缩短骨折愈合时间和住院时间，足部功能恢复良好。 　　[关键词] 液体骨；微创内固定；跟骨骨折；足部功能 　　[中图分类号] R683.42 [文献标识码] A [文章编号] 1673-7210（2016）04（c）-0085-04 　　[Abstract] Objective To observe clinical efficacy of liquid bone combined with minimally invasive internal fixation in the treatment of calcaneal fracture. Methods 100 patients with calcaneal fracture from March 2013 to January 2015 in People′s Hospital of Langfang City， Hebei Province were selected as study objects and randomly divided into treatment group （50 cases） and control group （50 cases）. Liquid bone combined with minimally invasive internal fixation treatment were used in treatment group， traditional pry pull reset and Kirschner wire fixation treatment were applied in control group. Surgery-related indicators， fracture healing time， foot function， complications between two groups were compared. Results Intraoperatve blood soss of treatment group was significantly less than that of control group， fracture healing time and down time of treatment group were significantly shorter than those of control group （P 0.05）. Incidence rate of postoperative infection， delayed union or don′t heal， traumatic arthritis were compared， with no statistical difference （P 0.05）. Conclusion Liquid bone combined with minimally invasive internal fixation in the treatment of calcaneal fracture can help shorten fracture healing time and hospital stay， can accelerate foot functional recovery. 　　[Key words] Liquid bone； Minimally invasive fixation； Calcaneal fracture； Foot function 　　跟骨的解剖结构复杂，承受着全身的重量，所以发挥着至关重要的生理功能，跟骨骨折发生率占全身骨折的2.00%[1-3]。近年来，跟骨骨折的治疗技术虽有了突飞猛进的发展，但若处理不当，可造成诸多后遗症[4]，如复位不佳、走路疼痛等。一般而言，临床医生会对患者的体征、骨折部位、骨折的严重程度、影像学检查等信息进行综合评估，选择相对合