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跟骨关节内骨折的手术治疗。257例患者的适应证、技术及结果

The operative treatment of intraarticular calcaneal fractures. Indications, technique, and results in 257 cases.

作者信息

Bèzes H, Massart P, Delvaux D, Fourquet J P, Tazi F

机构信息

Department of Surgery, University and Hôpital-Sûd de Grenoble, France.

出版信息

Clin Orthop Relat Res. 1993 May(290):55-9.

PMID:8472471
Abstract

Since 1972, 257 intraarticular fractures of the calcaneus have been treated with operative intervention. A lateral incision and a third tubular plate were used in all cases. The functional results were considered excellent or good in 85%, and there was an infection rate of 2.7%. Although 50% of patients showed a reduced mobility of the subtalar joint, pain and limited ambulation were rare. Only six patients required a late subtalar arthrodesis.

摘要

自1972年以来,257例跟骨关节内骨折接受了手术干预治疗。所有病例均采用外侧切口和第三块管状钢板。85%的患者功能结果被评为优或良,感染率为2.7%。虽然50%的患者距下关节活动度降低,但疼痛和行走受限情况罕见。只有6例患者需要后期行距下关节融合术。

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