锁定钛钢板治疗跟骨骨折42例临床疗效分析

Locking Titanium Plate for Treatment of Calcaneal Fracture Efficacy

目的:探讨锁定钛钢板内固定治疗跟骨骨折的疗效。方法:选取累及距下关节跟骨骨折42例48足采用锁定钛钢板内固定治疗。结果:42例48足患者均得到完整随访,随访时间为6～30个月,平均18个月。按Maryland标准进行评定,优38足占79%,良8足占17%,可2足占4%,优良率达96%。结论:锁定钛钢板内固定治疗累及距下关节跟骨骨折,具有类似外固定支架固定的坚强稳固性,最大限度恢复了跟骨的形态、关节面平整及Bohler角、Gissane角和Perie角,可以获得满意的临床效果。利于患者的功能恢复。

Objective：To discuss the curative effect of locking titanium plate internal fixation in treating calcaneal frac- ture. Methods： Open reduction of 42 patients（48 feet） calcaneal fracture involved talocalcaneal joint. Results：The average time of follow up was 18 months with a span from 6 to 30 months. Patients were followed up by Maryland Foot Score scoring open reduction ealcaneal locking titanium plate was 96 %. Conclusion： Using locking titanium plate to treat calca- neal fracture involved talocalcaneal joint resemble external fixation have forceful stability,can be better to restore the anatomical structure of the calcaneus,have better talocaieaneal joint Smooth, Bohler angle,Gissane angle and Perle an- gle,offering the combination of good reduction and early rehabilitation.