手法配合小切口内固定对距下关节移位跟骨骨折患者疗效及MarylandAOFAS评分影响.docVIP

手法配合小切口内固定对距下关节移位跟骨骨折患者疗效及MarylandAOFAS评分影响 　　[摘要] 目的 研究手法配合小切口内固定对距下关节移位跟骨骨折患者的疗效及Maryland、AOFAS评分的影响。 方法 选取于我院2014年4月～2017年3月就诊的88例距下关节移位跟骨骨折患者。以数字法随机分成观察组（44例）和对照组（44例）。对照组给予AO钢板常规内固定，观察组给予手法配合小切口内固定，对比两组患者组患者临床疗效，手术期指标，Maryland、AOFAS评分及并发症几率等。 结果 观察组优者占比68.18%（30/44），优良率为90.91%（40/44），均显著高于对照组的45.45%（20/44），70.45%（31/44），差异均有统计学意义（均P0.05）；观察组手术时间、出血量、愈合时间及住院时间均显著低于对照组，差异均有统计学意义（均P0.05）；治疗后观察组Maryland评分与AOFAS评分均显著高于对照组，差异均有统计学意义（均P0.05）；观察组总并发症率为4.55%（2/44）显著低于对照组18.18%（8/44），差异均有统计学意义（均P0.05）。 结论 手法配合小切口内固定术对距下关节移位跟骨骨折患者进行治疗疗效显著，能显著改善患者足功能，操作简单，创伤小，值的临床推广。 　　[关键词] 手法；小切口；内固定；关节移位；跟骨骨折 　　[中?D分类号] R274.1 [文献标识码] A [文章编号] 2095-0616（2017）10-207-04 　　Curative effect of manual small incision internal fixation to displaced intra-articular fractures of the calcaneus and its impact to Maryland and AOFA score 　　QIU Junyou HUANG Yi ZHONG Yuxiang 　　Department of orthopaedics，Jiaoling County Hospital of traditional Chinese Medicine，Jiaoling 514100，China 　　[Abstract] Objecitve To study the curative effect of manual small incision internal fixation to displaced intra-articular fractures of the calcaneus and its impact to Maryland and AOFA score. Methods 88 cases of displaced calcaneal ractures in our hospital from April 2014 to March 2017 were selected and divided into observation group（44 cases） and control group（44 cases） according to digital method.Patients in control group were treated with AO plate internal fixation，and patients in observation group were treated with manual small incision internal fixation.Clinical efficacy，operative index，Maryland，AOFAS score and complications of the two groups were compared. Results The observation group had accounted for 68.18%（30/44），the excellent rate was 90.91%（40/44），which were higher than those of control group with 45.45%（20/44） and 70.45%（31/44），and the differences were statistically significant （P 　　[Key words] Technique；Small incision；Internal fixation；Joint displacement；Calcaneus fracture 　　跟骨为人体最大之足跗骨，跟骨骨折在临床较为常见，在