L型切口跟骨关节内骨折内固定术21例疗效分析

Efficacy analysis of L-shaped incision and internal fixation for 21 cases with intra-articular fracture of calcaneus

目的观察L型切口跟骨关节内骨折内固定术治疗跟骨关节内骨折的临床疗效。方法通过对我院2004年3月至2008年6月收治的跟骨关节内骨折21例患者采用外侧L形切口，术中斯氏针牵引复位，克氏针及螺钉钢板内固定，并恢复功能的治疗。结果本组21例患者经L型切口跟骨关节内骨折复位固定术治疗后，优良率Sanders（Ⅱ型、Ⅲ型、Ⅳ型）分别为96％、91％及63％，总优良率为81％。1例出现腓肠皮神经损伤，1例术后足跟宽度不足。结论该术式操作简单，创伤小，恢复时间快，功能恢复良好，患者满意度较高。L型切口跟骨关节内骨折内固定可作为治疗跟骨关节内骨折的主要方法，应该得到临床推广。

Objective To observe the clinical efficacy of intra-articular calcaneal fractures treatment with L-shaped incision and internal fixation. Methods 21 cases with intra-articular calcaneal fracture were treated with lateral L-shaped incision,through the Steinmann pin traction reduction, Kirschner wire and screw plate fixation,and the restoration of function in our hospital from March 2004 to June 2008. Results 21 patients in this group by L-shaped incision and internal fixation, the excellent rate of Sanders （Ⅲ type, Ⅲ type, IV type）were 96%, 91% and 63% respectively,Overall satisfactory rate was 81%. sural cutaneous nerve injury was in 1 patient,less than the width of the heel in 1 patientConclusion The procedure is simple, trauma and faster recovery time, functional recovery of good,high patient satisfaction. L-shaped incision intra-articular calcaneal fracture fixation can be used as treatment of intra-articular calcaneal fracture of the main method, should be in clinic.