钢板加植入人工骨治疗跟骨骨折临床研究

[摘要] 目的 探讨钢板加植入人工骨治疗跟骨骨折的临床研究。

方法 整群选取2010年12月―2014年12月在该院进行跟骨骨折治疗的68例患者作为研究对象，按住院时间顺序分成两组各34例，观察组给予钢板加植入人工骨治疗，对照组给予植入人工骨治疗，比较两组疗效。

结果 观察组Maryland足部评分为（80±18）分，对照组Maryland足部评分为（70±13）分，两组相比差异有统计学意义（P毕业论文网 　　[关键词] 钢板加植入人工骨；跟骨骨折；临床研究 　　[中图分类号] R687.3 [文献标识码] A [文章编号] 1674—0742（2015）10（b）—0042—02 　　Clinical Study on the Treatment of Calcaneal Fractures with Steel Plate and Artificial Bone Implantation 　　JI Xiang 　　Burn Hand and Foot Plastic Surgery， FAW General Hospital， Changchun， Jilin Province， 130000 China 　　[Abstract] Objective To investigate the clinical study of calcaneal fractures treated by steel plate with artificial bone implantation. Methods 68 cases with calcaneal fractures treated in our hospital from December 2010 to December 2014 were selected as the subjects and divided into the observation group and the control group with 34 cases in each in accordance with the order of admission. Patients in the observation group were treated by steel plate with artificial bone implantation， and those in the control group were treated by artificial bone implantation. And the efficacy of the two groups was compared. Results The Maryland foot score of the observation group was （80±18） points， and that of the control group was （70±13） points， the difference between the two groups was statistically significant （P0.05）。

1.2 方法 　　1.2.1 材料 采用瑞福人工骨（国食药监械（准）字：2007第3460510号，北京益而康生物工程开发中心）。

1.2.2 治疗方法 观察组给予钢板加植入人工骨治疗，所有患者给予腰部麻醉，取健侧卧位，在足外侧做一 “L”型切口，逐层进行分离直至骨皮质，掀起跟腓韧带，显露距下关节和跟骨骨折部位，将塌陷的关节面撬起，然后用复位钳对骨折部位进行复位，从切口处打入人工骨，复位成功后，用钢板进行解剖固定，最后进行逐层缝合，患肢抬高，抗生素治疗。

对照组给予植入人工骨治疗，手术麻醉、方法同观察组，无钢板置入。

1.3 评定标准 　　Maryland足部评分[4]，满分100分。

优：90～100分，无疼痛，行走正常；良：75～89分，行走基本正常，伴轻微行走痛；中：50～74分，跟骨损伤严重，伴行走痛和轻微跛行；差：