文档介绍：山两医科大学硕十学位论文中文摘要跟骨骨折是最常见的跗骨骨折,占跗骨骨折的60%,大多是由距骨在距骨上的直接垂直暴力造成的,最常见的原因是高处坠落,少部分可能由于扭转力造成。因跟骨及周围解剖结构复杂,局部软组织覆盖质量差,故治疗困难,预后较差。跟骨骨折分为关节外骨折和关节内骨折,其合适的骨折分型、治疗选择、手术指征、手术入路和术后处理仍存在争议。目fj{『尚无理想的治疗方法,有待于进一步深入研究。保守治疗适合于移位小的骨折, 对于移位大或粉碎的骨折可应用手术治疗。其术后常见的并发症也与手术治疗方法密切相关。目的:总结跟骨骨折的治疗方法及预后疗效。方法:分析总结近年来有关跟骨骨折诊断和治疗的文献。结果:尚无统一的治疗方法,大多数患者仍需要针对性的手术方法及术后处理。结论:从骨折移位的情况,结合患者的状况,选择针对性的手术方法及辅助治疗, 是治疗该病较为完善的治疗模式。关键词:跟骨骨折撬拨复位克氏针山两医科大学硕十学位论文 Calcaneal fracture ABSTI认CT Fractures are mon tarsalbone for60%ot。tarsal bone fracture,Most ofthe talusinthetalus on the violence caused by thedirectvertical,The mon reason isfalling from height Small partmay be due to reverse theforcesthat have and thesurrounding anatomical structures due plexity Poor quality of local soft tissue treatment difficulties,poor prognosis Articular calcaneal fractures are divided intointra-articular fracturesand appropriate type offracture、 Treatment options,surgical indications,surgical approaches and postoperative careRemains is no idealtreatment,Needs treatment for displaced fractures of thesmall,Forlarge minuted fracturedisplacement can beapplied to surgical mon plications and surgical treatment are closely :Summary calcaneal fractureefficacy oftreatment : Analyzed and summarized recent years on thediagnosis andtreatmentofcalcanealfractures literature. Results:There is nouniform treatment,Most patients stillneed surgical methods andpostoperative targeted :Displaced fracture ofthe situation from Status of patients with Select targeted surgical methods and Adjuvant therapy,prehensive treatmentofthe disease treatmentmodel. Keywords:Fractures;Poking reduction;Kirschner wire 山西医科大学硕十学位论文损伤机制扭转暴力是导致许多跟骨关节外骨折的原因,尤其是跟骨前突、载距突和内侧突的骨折。而跟骨结节骨折大多由于肌肉牵拉暴力所致,直接暴力可以导致跟骨任何位置的骨折。轴向应力是导致跟骨关节内骨折的原因,跟骨的重量和宽度使它可以承受很高的张力、弯曲应力及压应力而不至于疲劳,但是瞬|’日J的高负荷,如高处坠落会导致跟骨骨折。跟骨和距骨的特殊关系是发生常见骨折的基础,剪切与压缩