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跟骨骨折的钢板内固定治疗 |
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ngue fracture，24 feet suffered compressed fracture(type Ⅱ)，6 feet suffered serious comminuted fracture(type Ⅲ).All patients underwent open reduction and interal fixation by buttress plate(AO calcaneal fracture plate or simulated AO calcaneal fracture plate made domesticaly) from the extended “L” lateral approach.Postoperatively，no patient needed plaster fixation.All patients started nonweightbeating fuctional exercise in 2～3 days，gradual weightbearing walking at 6～8 weeks.The followup period was from 10 monthes to 34 monthes.with an average of 16 monthes.Results Assessed the effect by Maryland foot score，the base line included every foot.The total excellent and good rate was 91％，it was 100％in type Ⅰ fracture group，96％in type Ⅱ fracture group，67％ in type Ⅲ fracture group.The complication included：2 cases suffered heel extend and subtalar joint arthritis，1 case suffered calcaneal bone spur affecting walk.1 case suffered apical wound necrosis and poor union(cured by exchanging dressing lately).1 case suffered uncomfortable by the backoff screw stimulating skin.Conclusion It is important to regain the flatness of subtalar joint and calcaneocuboid joint，maintain the normal shape&n 上一页 [1] [2] [3] [4] [5] [6] [7] 下一页
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