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目的:探讨分析中西医结合关节镜下微创治疗跟骨关节内骨折的可行性和疗效。方法:对60例78足累及关节面的跟骨骨折患者,术前、术后采用中西医结合疗法,并在关节镜辅助下行切开复位钢板内固定术,术后平均随访18个月(12～30个月),通过比较术前、术后X线片和美国足踝协会(AOFAS)评分标准对其治疗效果进行评价。结果:60例78足关节内跟骨骨折患者术后X线片示复位满意,与术前比较差异有统计学意义(P<0.05),AOFAS评分优良率92.31%。结论:对于关节内跟骨骨折,采用中西医结合关节镜辅助下微创钢板内固定更加接近解剖复位,术后患肢功能恢复满意且并发症少。
Objective: To investigate the feasibility and efficacy of minimally invasive endoscopic treatment of calcaneal intra-articular fractures with traditional Chinese and western medicine. Methods: Sixty patients (78 knees) with calcaneal fractures involving articular surface were treated with combined traditional Chinese and western medicine before and after operation. The patients underwent open reduction and reduction arthrodesis with arthroscopy. The mean follow-up was 18 months (12 ~ 30 months). The therapeutic effect was evaluated by comparing the preoperative and postoperative radiographs and the American Foot and Ankle Society (AOFAS) score. Results: Sixty patients with 78-foot intra-articular calcaneal fractures were satisfied with X-ray reconstruction after operation. The difference was statistically significant (P <0.05). The excellent and good rate of AOFAS score was 92.31%. Conclusion: For the intra-articular calcaneal fractures, minimally invasive plate-assisted internal fixation with the help of Chinese-Western medicine combined with arthroscopy is closer to anatomic reduction. The postoperative functional recovery of the affected limbs is satisfactory with fewer complications.