跟骨关节内骨折手术与非手术治疗疗效比较
THE JOURNAL OF TRADITIONAL CHINESE ORTHOPEDICS AND TRAUMATOLOGY(2003)
Abstract
为比较跟骨关节内骨折手术与非手术治疗的疗效差异.选择SandersⅡ~Ⅲ型跟骨关节内骨折24例,随机均分为两组.非手术组行手法复位石膏固定,手术组采用延长的外侧途径应用钢板松质骨螺丝钉联合固定.随访时间手术组平均30个月,非手术组平均26个月.按Maryland足部评分,手术组优良率83.3%,非手术组优良率41.7%;非手术组治疗后并发症发生率明显高于手术组;Bohler's角与Gissane角手术组治疗前后比较有显著统计学差异,而非手术组治疗前后无显著统计学差异.表明对于SandersⅡ型或Ⅲ型的跟骨关节内骨折,手术治疗疗效明显优于非手术治疗.
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