原创《关节镜辅助下钢板内固定治疗关节内跟骨骨折》：本文是一篇关于跟骨骨折论文范文，可作为相关选题参考,和写作参考文献。
[摘 要] 目的 探讨关节镜辅助下钢板内固定应用于关节内跟骨骨折的临床意义.方法 方便选取该院2014年2月—2017年2月50例关节内跟骨骨折患者为研究对象,所有患者均实施关节镜下辅助钢板内固定治疗.观察治疗前后跟骨长度、宽度、高度、Gissane角、踝足部功能、术后并发症发生情况.结果 治疗后,患者跟骨长度、宽度、高度、Gissane角分别为（82.16±4.11）mm、（31.44±2.95）mm、（44.19±3.71）mm、（121.24±4.22）°,较治疗前均有明显改善（P<0.05）；50例患者中,在踝足部功能方面,AOFAS评分优良率为90.00%,以Ⅱ型概率最高,其次为Ⅳ型；50例患者中均未出现严重并发症.结论 关节内跟骨骨折予以关节镜辅助下钢板内固定,效果确切.
[关键词] 关节内跟骨骨折；关节镜；钢板内固定
[中图分类号] R68 [文献标识码] A [文章编号] 1674-0742（2017）08（c）-0078-03
Arthroscopy-assisted Internal Fixation with Steel Plate in Treatment of Intra-articular Calcaneus Fracture
FAN Gui-yong, LIU Jin-lian, ZHOU Qing, LIU Chao-qun
Department of Orthopedics, Suzhou Jiulong Hospital Affiliated to Shanghai Jiaotong University School of Medicine, Suzhou, Jiangsu Province, 215000 China
[Abstract] Objective To study the clinical significance of arthroscopy-assisted internal fixation with steel plate in treatment of intra-articular calcaneus fracture. Methods 50 cases of paitents with intra-articular calcaneus fracturetreated in our hospital from February 2014 to February 2017 were convenient selected and treated with athroscopy-assisted internal fixation, and the calcaneus length, width, height, Gissane angle, ankle foot function and occurrence of complications after operation before and after treatment were observed. Results After treatment, the calcaneus length, width, height and Gissane angle were respectively （82.16±4.11）mm, （31.44±2.95）mm, （44.19±3.71）mm, （121.24±4.22）°, which were obviously improved compared with those before treatment（P<0.05）, of 50 cases of patients, the excellent and good rate of AOFAS score was 90.00%, the probability of Ⅱ type was the highest and the Ⅲ type was the second, and there were no severe complications. Conclusion The effect of arthroscopy-assisted internal fixation with steel plate in treatment of intra-articular calcaneus fracture is definite.
[Key words] Intra-articular calcaneus fracture； Arthroscopy； Internal fixation with steel plate
作為足部最大跗骨,跟骨发生骨折概率较高,且会累及关节面,患者承受痛苦较大,对日常活动造成影响[1-3].在解剖结构层面,跟骨参和跟骰关节、距下关节构成,发生骨折概率高达跗骨中的60%,常见双侧、闭合性损伤,大部分患者可见关节内骨折,主要是因坠落、外力及交通事故等所致.低能量创伤可导致轻微移位或者无移位,严重者则会引起关节内骨折,呈现较为粉碎状态.若出现长期肿胀、疼痛,应重点预防骨筋膜间隔综合征.临床治疗以保证解剖复位、妥善内固定、坚持功能锻炼为基本原则[4],为寻找更为有效的治疗方法,为临床实践奠定理论基础,该文方便选取该院2014年2月—2017年2月的关节内跟骨骨折患者50例进行研究,旨在探讨关节内跟骨骨折中予以关节镜辅助下钢板内固定的临床意义,现报道如下.
1 资料和方法
1.1 一般资料
从该院的关节内跟骨骨折患者中方便抽取50例进行该次研究,男女比例为31：19,平均年龄（41.55±3.82）岁,最大59岁,最小23岁；其中14例为高处坠落,25例为车祸,11例暴力所致；伴有胫骨平台骨折1例、腰椎损伤2例；在Sanders分型方面,11例Ⅱ型,27例Ⅲ型,12例Ⅳ型.纳入标准：年龄≥23岁；确诊为关节内跟骨骨折者；积极配合研究者.排除标准：精神异常或意识不清者；伴有其他脏器严重疾病者；合并凝血障碍等系统疾病者.
跟骨骨折论文参考资料：
结论：关节镜辅助下钢板内固定治疗关节内跟骨骨折为适合不知如何写跟骨骨折方面的相关专业大学硕士和本科毕业论文以及关于脚跟骨骨折的禁忌论文开题报告范文和相关职称论文写作参考文献资料下载。
