跟骨内固定法治疗粉碎性跟骨骨折的临床效果分析

Analysis of clinical effect of internal calcaneal fixation treatment for comminuted calcaneal fractures

目的：探讨跟骨内固定治疗粉碎性跟骨骨折的疗效。方法：选取我院2005年12月～2008年12月行切开复位可塑形钛质钢板固定加植骨术治疗粉碎性跟骨骨折患者41例52足．所有跟骨骨折患者均采用L型大切口跟骨钢板固定，保护腓肠神经，钢板外侧固定，术后评价骨折复位效果。结果：采用Marglang足部评分标准，优24足，良16足，中7足，差5足，优良率为76．9％。切口一期愈合47足，切口延迟愈合3足，钢板外露伴浅感染2足。结论：跟骨内固定法治疗粉碎性跟骨骨折疗效较好。

Objective： To investigate the effect of internal calcaneal fixation treatment for comminuted caleaneal fractures. Methods： 41 cases with 52 calcaneal fractures of patients with comminuted caleaneal fratures in the treatment of open reduction with plastic titanic steel plate fired and bone graft operation were selected. All were fixed with L-shaped calcaneal steel plates for large incision, with the sural nerve protected and the lateral side of the plate fixed. Postoperative effects of fracture reduction were evaluated. Results： The Marglang foot scoring standards were used to evaluate the postoperative effect, with 24 feet excellent,＇ 16 feet good, 7 feet fair and 5 feet poor. The excellent and good rate was 76.9%. 47 feet were primary wound healing, 3 patients had delayed wound healing and 2 feet appeared steel plate exposion with superficial infection. Conclusion： The effect of internal ealcaneal fixation treatment for comminuted calcaneal fractures is preferably.