- 期刊
Fractures of the Calcaneus
跟骨骨折的治療經驗
摘要
長庚紀念醫院自1979年1月至1984年12月，57例有完整追蹤治療資料的跟骨骨折病人，我們採用羅維氏（Rowe）分類法，來加以分類治療並追蹤其結果。 第一類型及第三類型關節外跟骨骨折，採取保守療法，將骨折復位後以短腿石膏固定，大約百分之九十的病人得到滿意治療結果。第二類型喙狀（Beak）或撕除狀（Avulsion）跟骨骨折，採取手術復位加上內固定，所有病人皆得到滿意結果。第四類型和第五類型關節面跟骨骨折，徒手復位（Closed Reduction）加上石膏固定或輔位復位法（Axial reduction），只有百分之四十三的病人得到滿意結果。我們的治療資料顯示在輔位復位法必須使跟骨波爾角度（Bohler Angle）至少須大於十五度，病人才可以得到較佳療效。
關鍵字
無資料並列摘要
Sixty-four calcaneus fractures in 57 patients were treated between January 1979 and December 1984. They were divided into five type of calcaneal fractures using the Rowe's classification. Extraarticular type Ⅰand Type Ш calcaneus fractures were treated conservatively with manipulation and casting. Excellent or good results were found in 90 percent of cases. Type Ⅱ beak fracture or avulsion fractures were treated with open reduction and internal fixation, all had excellent or good results. Intraarticular type Ⅳ and type Ⅴ calcaneus fractures were treated by closed reduction with casting or axial reductin. Excellent or good results were found in 43 percent. The data suggests that the Bohler angle should be restored to at least 15 degrees in axial reduction.