The accuracy of evaluation in the foundation and clinical application of the self-manufactured guider of the calcaneous sustentaculum tali screw for the fixation of the calcaneous sustentaculum tali
Chinese Journal of Clinical Anatomy ›› 2015, Vol. 33 ›› Issue (5) : 523-526.
The accuracy of evaluation in the foundation and clinical application of the self-manufactured guider of the calcaneous sustentaculum tali screw for the fixation of the calcaneous sustentaculum tali
Objective To discuss the accuracy of the self-manufactured guider of the calcaneous sustentaculum tali screw for the fixation of the calcaneous sustentaculum tali in the calcaneous specimens and the clinical. Methods (1) 15 pairs of calcaneous specimens were collected for this study. A 2.5 mm Kirschner-wire was drilled into each of the cadaveric feet according to the guider and the position of the Kirschner-wire. (2) 25 cases (28 feet) of calcaneal fracture were enrolled in this study. According to Sanders classification, there were 9 cases falling into type-II，11 cases type-III and 8 cases type-IV. The guider of the calcaneous sustentaculum tali screw was used in each case and the sustentaculum tali screw position was evaluated by X-ray postoperatively. Results (1) In the specimens, all of the 30 Kirschner-wires were implanted into the calcaneous sustentaculum tali and 29 Kirschner-wires were passed though the middle of the sustentaculum tali; However, 1 Kirschner-wire was passed through the anteroinferior part of the sustentaculum tali. The accurate rate by this guider was 96.7%. (2) A total of 28 sustentaculum tali screws were implanted in 25 patients, and 27 screws were passed thoughthe middle of the sustentaculum tali. However, 1 screw was passed through the anterior part of the sustentaculum tali. The accuracy rate was 96.4%. Conclusion The self-manufactured guider of the calcaneous sustentaculum tali screw can significantly improve the accuracy of the screw or Kirschner-wire being implanted into the sustentaculum tali, which can avoid the artificial iatrogenic complications caused by the position deviation of the sustentaculum tali screw. Therefore, it is appropriate to be promoted widely in clinical practice.
Calcaneal / Fracture / Sustentaculum tali / Screw with director
[1] Rammelt S, Zwipp H.Fractures of the calcaneus: current Treatment strategies[J].Acta Chir Orthop Traumatol Cech, 2014,81(3):177-196.
[2] Kinner B，Schieder S，Mtiller F，et a1．Calcaneocuboid joint in volvement in calcaneal fractures[J]．J Trauma，2010，68(5)：1192-1199.
[3] Yu GR, Pang QJ, Yu X,et a1．Surgical management for avulsion fracture of the calcaneal tuberosity[J].Orthop Surg, 2013，5(3):196-202.
[4] Jiang N, Lin QR, Diao XC,et a1．Surgical versus nonsurgical treatment of displaced intra-articular calcaneal fracture: a meta-analysis of current evidence base[J].Int Orthop, 2012, 36(8):1615-1622.
[5] Basile A. Operative versus nonoperative treatment of displaced intra-articular calcaneal fractures in elderly patients[J]．J Foot Ankle Surg，2010，49(1)：25-32．
[6] Pang QJ, Yu X, Guo ZH, et al. The sustentaculum tali screw fixation for the treatment of Sanders type II calcaneal fracture: A finite element analysis[J].Pak J Med Sci, 2014, 30(5):1099-103.
[7] Badillo K，Pacheco JA，Padua SO，et a1．Muhidetector CT evaluation of calcaneal fractures[J]．Radiographics，2011, 31(1)：8l-92．
[8] Panehbhavi VK．Technique tip：reduction of the medial wall in calcaneal fractures[J]．Foot Ankle Int，2007，28（7）：849-850．
[9] Phisitkul P, Sullivan JP, Goetz JE, et al. Mximizing safety in screw placement for posterior facet fixation in calcaneus fractures: a cadaveric radio-anatomical study[J]. Foot Ankle Int，2013, 34(9):1279-1285.
[10] 梅炯, 俞光荣, 朱辉, 等. 跟骨载距突的解剖特点及其临床意义[J].中国临床解剖学杂志，2002，20(1)：9-11.
[11] 校伯平，李明，王邦荣，等．跟骨骨折的临床解剖学观察及应用[J]．中国骨伤，2010，23(11)：814-816．
[12] Della Rocca GJ, Nork SE, Barei DP, et al. Fractures of the sustentaculum tali: injury characteristics and surgical technique for reduction[J].Foot Ankle Int, 2009, 30(11):1037-1041.
[13]张鹏, 黄勇, 张增方, 等. 跟骨载距突与其外侧壁关系的测量[J].青岛大学医学院学报, 2007, 43(6):507-509.
[14]俞光荣, 燕晓宇.跟骨骨折治疗方法的选择[ J].中华骨科杂志, 2006, 26( 2)：135-136.
[15]张翅,袁仕国,周孟君,等.点对点定位器辅助置入固定跟骨骨折载距突螺钉的初步报告[J].中华创伤骨科杂志, 2010, 12(11) :1095-1099.
[16]郭锐. 载距突在跟骨外侧壁的投影及临床意义[D].[硕士学位论文]．河北：河北医科大学，2005.
/
| 〈 |
|
〉 |
