钛板内固定治疗波及跟距关节的跟骨粉碎骨折

Treatment for comminuted fracture of calcaneus that spreading to articular surface by internal fixation with titanium plate

目的评价钛板内固定治疗波及跟距关节的跟骨粉碎性骨折的临床疗效。方法对25例波及跟距关节的跟骨粉碎骨折作切开复位,钛板内固定,术后随访10～28个月,观察骨愈情况及评价术后踝关节功能恢复。结果所有骨折都能骨性愈合,按margl and foot score系统进行术后功能评价:优15例,良8例,差2例。术后无伤口感染,合并切口皮缘坏死15例,均能疤痕翕合。结论钛板内固定是治疗波及跟距关节的跟骨粉碎骨折的有效方法。

Objective To evaluate the outcomes of treatment for comminuted fracture of calcaneus that spreading to articular surface by internal fixation with titanium plate Methods 25 patients with comminuted fracture of calcaneus that spreading to articular surface were operated for internal fixation with titanium plate , All the patients were followed up from 10 to 28 months to evaluated the function of calcaneus joint and rate of osseous fusion. Results All the patients can been osseous fixation. The function wre evaluated according to margland foot score ：15 patients wre excellent ,8 patients wre good ,2 patients wre poor. no wound infectioned. 15 patients had necrosis of wound edge. All of them can scar healed. Conclusion Treatment for comminuted fracture of calcaneus that spreading articular surface by internal fixation with titanium plate is an effective method.