Objective: To evaluate the preventive effect of internal fixation of keel locking plate for the loss of joint reduction in intra-articular calcaneal fractures patients with osteoporosis. Methods: 86 intra-articular calcaneal fractures patients with osteoporosis were randomly divided into observation group and control group, with 43 cases in each group. The observation group received internal fixation of keel locking plate,the control group received internal fixation of anatomical plate.The perioperative related indicators,scores of American Orthopaedic Foot & Ankle Society(AOFAS) at 12 months after operation and the excellent rate of ankle function between the two groups were compared,the B hler angle, Gissane angle,calcaneus width, calcaneus heightbefore operation and 1 week, 6 months, 12 months after operation and its degree loss were evaluated. Results: There were no significant differences in the incision length, operation time, intraoperative blood loss and postoperative hospital stay between the two groups(P>0.05),the healing time of the fractures in the observation group was significantly shorter than that in the control group(P<0.05);At the last follow-up, the loss of B hler angle, Gissane angle, calcaneal width and calcaneus height in the observation group were significantly lower than in that the control group(P<0.05);The AOFAS score and excellent rate of ankle function in the observation group were significantly higher than those in the control group(P<0.05). Conclusion: The internal fixation of calcaneal locking plate is effective in the treatment of intra-articular calcaneal fractures patients with osteoporosis,which can reduce the loss of joint reduction compared with anatomical plate. |
[1] 刘瀚忠.锁定钢板和异型钢板治疗跟骨关节内骨折的疗效比较[J].广东医学, 2013, 34(12):1889-1891.
[2] 陈康武,王根林,张洪涛,等.单轴与多轴锁定钢板治疗复杂跟骨关节内骨折的比较研究[J].中华创伤骨科杂志,2017,19(3):198-202.
[3] CHEN K,ZHANG H,WANG G,et al.Comparison of nonlocking plates and locking plates for intraarticular calcaneal fracture[J]. Foot Ankle Int,2014,35(12):1298-1302.
[4] 严广斌. AOFAS踝-后足评分系统[J].中华关节外科杂志:电子版,2014,8(4):557-557.
[5] 李玉茂,林智军,林奇益,等.切开复位钢板内固定治疗SandersⅡ~Ⅳ型跟骨关节内骨折的疗效[J].中国骨与关节损伤杂志,2017,32(6):657-658.
[6] 祝海炳,李哲民,施忠民,等.小切口微型锁定钢板与传统切口钢板内固定治疗跟骨关节内骨折的对照研究[J].浙江医学,2014,36(1):19-22.
[7] 吴震,徐卫星,卢笛,等.跟骨锁定接骨板治疗老年骨质疏松性跟骨关节内骨折[J].中医正骨,2013,25(10):61-62.
[8] 刘国红,吴迪,杨浩,等.跟骨解剖型钢板与锁定型钢板治疗跟骨关节内粉碎性骨折的比较[J].昆明医科大学学报,2013,34(12):77-83.
[9] 叶生余.跟骨关节内骨折选择不同类型钢板内固定治疗临床研究[J].医学研究杂志,2015,44(8):171-173.
[10] 汤文杰,王金辉,王满宜,等.解剖锁定钢板与普通钢板内固定治疗跟骨骨折的临床疗效对比[J].中国矫形外科杂志,2016,24(8):706-711.
[11] 张建林,孙俊英,叶峥,等.锁定钢板与传统钢板治疗跟骨关节内骨折的临床疗效比较[J].疑难病杂志,2014,13(6):634-636.
[12] MAXWELL A B,OWEN J R,GILBERT T M,et al.Biomechanical performance of lateral versus dual locking plates for calcaneal fractures[J]. J Foot Ankle Surg,2015,54(5):830-835.
[13] 高峰,李翔,方永祥,等.普通解剖钢板加植骨与锁定钢板治疗SandersⅡ、Ⅲ型跟骨骨折的疗效比较[J].中华创伤骨科杂志,2015,17(9):791-795.
[14] 刘文虎.锁定钢板治疗跟骨关节内骨折:有预防关节复位丢失的优势[J].中国组织工程研究,2017,21(15):2383-2387. |