106例跟骨关节内骨折的手术治疗

Surgical Treatment of Intra-articular Calcaneal Fractures:An Analysis of 106 Cases

目的探讨跟骨关节内骨折的手术治疗效果及其并发症防治措施。方法对106例(135足)跟骨关节内骨折患者采用切开复位跟骨钢板内固定治疗,骨折按Sanders分型,Ⅱ型51足,Ⅲ型62足,Ⅳ型22足,术后随访5～20个月,观察有无并发症发生,术后功能恢复情况等,对治疗效果进行总结评价。结果 106例患者骨折均愈合,功能恢复良好,其中优58例,良38例,优良率为90.57%。4例切口愈合延迟,2例伤口发生感染,4例术后持续性疼痛,并发症发生率为9.43%。结论切开复位跟骨钢板内固定术是治疗跟骨关节内骨折的有效治疗方法。

Objective To investigate the surgical treatment of intra-articular calcaneal fractures and the measures for prevention and control of complications.Methods One hundred thirty-five intra-articular calcaneal fractures of 106 patients were treated by open reduction and internal fixation at the department of orthopaedics.The fractures were classified according to the Sanders system,including 51 type Ⅱ,62 type Ⅲ and 22 type Ⅳ.All patients were followed up for 5 to 20 months to observe the complications and postoperative functional recovery,and the therapeutic efficacy was evaluated.Results All fractures healed with good functional recovery.There were excellent in 58 cases,good in 38 cases,the rate of good and excellent outcomes was 90.57%.Delayed wound healing occurred in 4 cases,wound infection in 2 cases,and persistent postoperative pain in 4 cases.The incidence of complications was 9.43%.Conclusion Open reduction and internal fixation is an effective treatment for intra-articular calcaneal fractures.