The Discussion of Comminuted Calcaneal Bone about Plants the Bone
|School||Hubei University of Chinese Medicine|
|Course||Traditional Chinese Medicine|
|Keywords||Calcaneal fractures Bone graft AO calcaneal plate Perioperative Maryland Foot Score Sanders type|
Objective: line AO ??calcaneal plate divided into three groups of intra-articular calcaneal fractures with open reduction and internal fixation with TCM Differential Treatment of perioperative research calcaneal fractures bone graft do not plant by 102 foot of 79 cases involving , planting artificial plant autologous iliac Sanders Ⅱ - Ⅳ type fracture efficacy, functional recovery and prevention of postoperative complications significance method: 79 patients with 102 feet of comminuted calcaneal fractures AO calcaneal plate, all the line open reduction internal fixation with TCM Differential Treatment of perioperative Clinically, divided into three groups, constitute three sets foot disease severity of the disease, gender, age, and admission to the surgical time was no significant difference (P gt; 0.5), according to Sanders classification: 28 patients (36 feet) artificial bone grafting 10 cases of type II 12 and 12 cases of type III 15 foot, Ⅳ six cases of foot; 26 35 foot given autologous bone grafts Ⅱ in 8 patients (11 feet), Ⅱ 12 cases of 16 feet, Ⅳ V-type 6-of Example 8 feet; same period not bone graft Ⅱ in 8 patients (10 feet) Type III 11 patients (13 feet), Ⅳ six cases of 8 feet by 31 feet to 25 cases. Results: 79 cases of 102 foot were followed for 7 to 29 months, an average of 15.8 months, all fractures healed, statistics on the number of affected foot, the postoperative functional evaluation and postoperative Maryland Foot Score 6 months fracture healing fracture and loss of reduction rate (R) and the average loss ratio of (H) results to assess. Artificial bone graft group II excellent rate: 91.67%; R: 3.8%. The excellent type III rate: 86.67%; R: 5.8%. Excellent rate of type IV: 66.67%; R: 9.5%. The excellent and good rate: 83.33%, H: 5.4%. From the iliac bone graft group: Ⅱ excellent rate: 81.82%; R: 4.2%. The excellent type III rate: 75.00%; R: 6.3%. Excellent rate of type IV: 62.50%; R: 10.4%. The excellent and good rate: 74.28%; H: 6.1%. No bone graft group: Ⅱ excellent rate: 72.73%; R: 7.6%. The excellent type III rate: 64.28%; R: 10.8%. Excellent rate of type IV: 57.14%; R: 19.5%. The excellent and good rate: 65.63%; H: 10.2%. Statistics have bone graft group II excellent rate: 84.67%; R: 4.0%. The excellent type III rate: 80.27%; R: 6.1%. Excellent rate of type IV: 64.76%; R: 9.8%. The excellent and good rate: 78.31%, H: 5.7%. Cases of rejection postoperative bone group wound dressing, 2 times a day, after exudate gradually reduce and eventually two healing. Appeared abnormal feeling pain from the ilium postoperative patients with iliac area, to further indemnity the topical lidocaine closed, insurable oral, March gradually ease; neuroma patients with iliac area, local radiation kind of pain weight, surgical resection, postoperative recovery. No bone graft group 1 patients severe traumatic arthritis, pain, stiffness serious, non-surgical treatment March invalid after row spacing arthrodesis, postoperative symptoms. Conclusion: AO calcaneal plate fixation and open reduction and in particular planting bone calcaneal fracture, in conjunction with the TCM Differential Treatment of perioperative. Conducive to promoting the repair of soft tissue, fracture healing, to prevent the collapse of the fracture zone, enhanced fixed stability, improve efficacy and functional recovery, to play an active role in the prevention and treatment of complications, clinical worth promoting.