陈华;唐佩福;梁向党;陶笙;张群;黄鹏;卢强;许猛;梁雨田;张伯勋;

• 1:解放军总医院骨科
• 2:解放军总医院骨科
• 3:解放军总医院骨科
• 4:解放军总医院骨科

摘要(Abstract)：

[目的]回顾评价Osteoset~人工骨加内固定治疗跟骨骨折的临床效果。[方法]对行切开复位内固定并植入Osteoset~人工骨的23例跟骨粉碎性骨折患者的病历资料进行回顾并随访。所有患者术前拍摄X线片和计算机扫描加三维重建分析,测定Blher′s角、根据CT结果进行Sanders骨折分型;术后即刻及术后3个月X线检查,参照美国足踝外科学会足部功能评分标准进行随访。[结果]23例25侧骨折SandersⅡ型7侧,Ⅲ型15侧,Ⅳ型3侧。术前Blher′s角4.8°±6.6°,术后Blher′s角平均增加26.8°±8.6°,术后3个月Blher′s角平均减少0.4°±2.27°。术后1个月植入的Osteoset~人工骨逐渐降解吸收,被新生的骨组织替代。功能优良率92%。[结论]Osteoset~人工骨加内固定治疗跟骨骨折的疗效满意,人工骨的使用发挥了自体髂骨取骨植骨相同的功效。

关键词(KeyWords)： 跟骨骨折;内固定;Osteoset~人工骨

Abstract:

Keywords:

基金项目(Foundation): “十一五”全军医药卫生科研面上项目(项目编号:06MA261);; 解放军总医院苗圃基金项目(项目编号:2007018)

作者(Author): 陈华;唐佩福;梁向党;陶笙;张群;黄鹏;卢强;许猛;梁雨田;张伯勋;

Email:

DOI:

参考文献(References)：

• [1]Stephenson JR·Surgical treatment of displaced intraarticular fractures of the calcaneus:a combined lateral and medial approach[J].Clin Orthop Relat Res,1993,290:68-75.
• [2]李豫明,丘青中,李文超.塌陷性跟骨骨折的手术治疗[J].中国骨与关节损伤杂志,2007,1:77-78.
• [3]MavGarvey WC,Burris MW.Calcaneal fractures:indirect reduction and external fixation[J].Techniques in foot and ankle surgery,2004,4:258-268.
• [4]Longino D,Buckley RE.Bone graft in the operative treatment of dis-placed intraarticular calcaneal fractures:is it helpful[J].J Orthop Trauma,2001,4:280-286.
• [5]Sanders R,Gregory P.Operative treatment of intraarticular fracture of the calcaneus[J].Orthop Clin North(Am),1995,2:203-214.
• [6]Borrelli JJ,Prickett WD,Ricci WM.Treatment of nonunions and osse-ous defects with bone graft and calcium sulfate[J].Clin Orthop,2003,411:245-254.
• [7]Cunningham B,Oda L,Haggerty C,et al.An investigational study of calcium sulfate for posterolateral spinal arthrodesis:an invivo animal model[R].Presented at:45thAnnual Meeting of Orthopaedic Re-search Society,February1999,Anaheim,CA.
• [8]Wilkins R,Kelly C.Use of biodegradable antibiotic beads in ortho-paedic infections[J].Journal of Bone&Joint Surgery-British Vol-ume,2005,87B:304.
• [9]Rosenblum SF,Frenkel S,Ricci JR,et al.Diffusion of fibroblast growth factor from a plaster of Paris carrier[J].J Appl Biomater,1993,1:67-72.
• [10]Yamazaki Y,Oida S,Akimoto Y,et al.Response of the mouse femoral muscle to an implant of a composite of bone morphogenetic protein and plaster of Paris[J].Clin Orthop Relat Res,1988,234:240-249.
• [12]Kim SG,Chung CH,Kim YK,et al.Use of particulate dentin-plaster of Paris combination with/without platelet-rich plasma in the treat-ment of bone defects around implants[J].Int J Oral Maxillofac Im-plants,2002,1:86-94.
• [12]Intini G,Andreana S,Margarone JE3rd,et al.Engineering a bioactive matrix by modifications of calcium sulfate[J].Tissue Eng,2002,6:997-1008.
• [13]David L,Richard EB.Bone graft in the operative treatment of dis-placed intraarticular calcaneal fracture:is it helpful[J].J Orthop Trauma,2001,4:280-286.
• [14]陈华,田学忠,张伯勋,等.硫酸钙骨内植入修复兔包容性骨缺损的力学分析[J].中国矫形外科杂志,2008,5:362-364.