手法复位方式配合石膏外固定治疗跟骨骨折效果研究.docVIP

手法复位方式配合石膏外固定治疗跟骨骨折效果研究 　　[摘要] 目的 对手法复位方式配合石膏外固定治疗跟骨骨折的效果进行探讨。方法 方便选取2014年6月―2017年6月到该院接受治疗的66例跟骨骨折患者为研究对象，对所有患者实行手法复位方式配合石膏外固定治疗，记录并观察其临床治疗效果。结果 53例Ⅰ型轻度移位或无移位的骨折患者的临床治疗效果均显示优；13例Ⅱ型波及关节面的粉碎骨折患者，1例治疗效果判定为差、5例治疗效果判定为良、7例治疗效果判定为优，优良率为92.31%。患者治疗后的AOFAS各项评分均明显高于治疗前，差异有统计学意义（P0.05）。 结论 对跟骨骨折患者实行手法复位方式配合石膏外固定治疗，可以取得较为理想的临床治疗效果，值得在临床中推广使用。 　　[关键词] 手法复位；石膏外固定；跟骨骨折 　　[中图分类号] R5 [文献标识码] A [文章编号] 1674-0742（2017）09（c）-0041-03 　　Research on Effect of Manual Reduction Method and Plaster External Fixation in Treatment of Fracture of Calcaneus 　　YAN Hong-chi， CHEN Kun-fu， WU Wen-song 　　Department of Orthopedics， Longhai Hospital of Traditional Chinese Medicine， Zhangzhou， Fujian Province， 363100 China 　　[Abstract] Objective To study the effect of manual reduction method and plaster external fixation in treatment of fracture of calcaneus. Methods Convenient selection 66 cases of patients with fracture of calcaneus treated in our hospital from June 2014 to June 2017 were selected as the research objects and all patients were treated with manual reduction method and plaster external fixation， and the clinical treatment effect was recorded and observed. Results Of 53 cases， the clinical treatment effect of fracture patients with Ⅰ-type mild displacement or no displacement was excellent； of 13 cases of patients with fractured Ⅱ-type wave and articular surface， in terms of treatment effect， 1 case was poor， 5 cases were good and 7 cases were excellent， and the excellent and good rate was 92.31%， and various AOFAS scores of patients after treatment were obviosuly higher than those before treatment， and the differences were statistically significant（P0.05）. Conclusion The clinical effect of manual reduction method and plaster external fixation in treatment of fracture of calcaneus is ideal， which is worth clinical promotion and application. 　　[Key words] Manual reduction； Plaster external fixation； Fracture of calcaneus 　　跟骨骨折是临床上一种比较常见的足部疾病，近些年，跟骨骨折的发病率越来越高，跟骨骨折主要是因从高处跌下，导致足跟受到垂