62例跟骨骨折的临床治疗分析

Clinical analysis of 62 cases of calcaneus fracture patients

目的:比较切开复位钢板螺钉内固定与撬拔复位克氏针内固定治疗跟骨骨折的临床效果。方法:对62例66足波及跟距关节面的跟骨骨折采用撬拔复位克氏针内固定(A组)与切开复位钢板螺钉内固定(B组),术后按Maryland足部评分系统评价术后功能。结果:62例均获随访,时间5～12个月,平均8个月,未出现感染、皮肤坏死或斯氏针滑脱,切开复位钢板螺钉内固定的优良率为100%,撬拔复位克氏针内固定的优良率为87.5%。结论:对跟骨骨折如能根据损伤的类型及患者的情况采用不同的手术方式,均能达到比较令人满意的效果。

Objective： To evaluate the surgical techniques of open reduction and limited internal fixation of calcaneal fractures and the method that the ealeaneus was fixed with plate and screw in 62 cases calcaneal fractures patients. Methods： To compare the clinical effect of two groups. Results： The clinical resuhs were evaluated according to Maryland Foot Score, Group A excellent results achieved in 44 eases, good in 40, excellent and good rate was 87.5%.Group 13 excellent results achieved in 18 cases, good in 18, excellent and good rate was 100%. Conclusion： The surgical techniques and results of internal fixation to fractures are related to anatomic features of calcaneus and their injury mechanism.It is an effective method for treatment of calcaneus fracture.