可塑性钛板治疗跟骨关节内骨折

Treatment of Intra-articular Calcaneal Fracture by Open Reduction and Plastic Ti-alloy Plate Internal Fixation

目的观察分析切开复位可塑性钛板内固定治疗跟骨关节内骨折的方法和疗效。方法自2001年1月至2005年12月,对36例39足跟骨关节内骨折行切开复位可塑性钛板内固定治疗。结果36例39足平均随访13个月,按Maryland足部功能评分系统评价术后功能,优15足,良20足,优良率为89.74%。结论切开复位可塑性钛板内固定是治疗跟骨关节内骨折的可靠方法。恢复跟骨解剖形态、必要的关节面下植骨支撑、选择合适的可塑性钛板固定能最大限度地减少骨折后并发症。

Objective To observe and analyze the treatment method and effect of open reduction and internal fix- ation with plastic ti-alloy plate for intra-articular calcaneal fracture. Methods 36 patients （39 feet） with intra-articular calcaneal fracture were treated with open reduction and internal fixation with plastic ti-alloy plate from January 2001 to December 2005. Results 36 patients （39 feet） were followed up for Maryland foot score system, the results were execllent in 15 cases and good in 20 cases, the satisfactory rate was 89.74 percent. Conclusion Open reduction and internal fixation with plastic ti-alloy plate is a reliable measure to treat intra-articular calcaneus fractures. Restoring the articular anatomy, sustaining the articular with bone grafting as necessary and choosing the appropriate plastic ti-alloy blare internal fixation can greatly decrease complications of calcaneal fracture.