关节镜辅助下钢板内固定治疗关节内跟骨骨折

Use of calcaneal anatomic plate in open reduction and internal fixation of intra-articular calcaneal fractures with arthroscopically-assisted

[目的]探讨分析关节镜辅助下钢板内固定治疗关节内跟骨骨折的方法和疗效;[方法]对78位患者，86例累及关节面的跟骨骨折在关节镜辅助下行切开复位钢板内固定术，术后平均随访18个月（12～30个月），通过比较术前术后X线片和踝足功能的AOFAS评分对治疗效果作分析评价．[结果]86例关节内跟骨骨折术后X线示复位满意．与术前存在显著性差异（P〈0．01），AOFAS评分优良率91．86％．[结论]对于关节内跟骨骨折，采用关节镜辅助钢板内固定更加接近解剖复位。

[ Objective] To discuss and evaluate the method and effect of using calcaneal anatomic plate in treatment of intra-artieular fractures of the calcaneus with assistant of arthroscope, [ Method] Eighty-six intra-articular fractures of the caleaneus in 78 patients were reduced by open reduction, and rigid fixation was made with calcaneal anatomic plate under assistant of arthroscope, The average follow up as 18 months （ranged, 12 -30 months） . The effect of treatment was evaluated according to AOFAS and X-ray preoperatively and postoperatively, [Result] Eighty-six patients have＇obtained satisfied reduce according to X-ray, and showed significant difference between preoperative and postoperative （P 〈 0. 01 ）, the total satisfactory rate was 91.86%, [ Conchlsion] Treating intra-articular fractures of the calcaneus with calcaneal anatomic plate under the arthroscope have more chance to achieye anatomical reconstruction, which can lead to satisfied recoverv of function and few complication,