跟骨关节内骨折的手术治疗

Surgery on Intra-Articular Calcaneal Fracture

目的探讨跟骨关节内骨折的手术治疗及临床疗效。方法对2005年1月～2008年2月通过手术治疗跟骨关节内骨折12例病例分析。采用Sander分型法,根据不同的类型分别采用可塑形接骨板、植骨。结果全部患者获随访,平均18.2(6～25)个月,按Maryland法评定,优10例(83.3%),良1例(8.35%),可1例(8.35%)。优良率91.7%。结论跟骨关节内骨折通过手术治疗,能最大限度恢复其正常的解剖位置,术后配合合理康复锻炼,能使跟骨关节内骨折达到最大的恢复。

Objective To evaluate the result ofintra-articular calcaneal fracture treated with surgery and clinical efficacy. Methods Through the surgery intra-articular calcaneal fracture analysis of the 12 cases from January 2005 to February 2008. Fracture classification was based on Sander＇s classification, and different types were used to shaping plate, the bone graft. Result Average follow-up was 18.2 months （ranging from 6 to 25 months）. According to the assessment of Maryland law, 10 cases were excellen（83.3%）, one was good （8.53%）,and the other was ok （8. 53%）. The overall excellent or good rate was 91.7%. Conclusion Surgery on intra-articular calcaneal fracture can maximize the restoration of nor- mal anatomy of the location; with reasonable postoperative exercise, intra-articular calcaneal fracture can maximize recovery.