切开复位克氏针内固定并植骨术治疗跟骨关节内骨折临床研究

Clinical Study of Open Reduction and Internal Fixation with Kirschner Wire Combined with Bone Grafting in the Treatment of Calcaneus Intra-articular Fracture

目的:探讨切开复位克氏针内固定并植骨术治疗跟骨关节内骨折的临床疗效。方法:58例(62足)跟骨关节内骨折患者均为闭合性跟骨关节内骨折,施行切开复位克氏针内固定并植骨术。结果:术后X线片测量:Bhler角平均30°,Gissane角平均132°。按Maryland评分系统评定:优30足,良24足,可6足,差2足,优良率达87.1%。结论:切开复位克氏针内固定并植骨术治疗跟骨关节内骨折疗效显著。

Objective：To investigate the clinical curative effect of open reduction and internal fixation with Kirschner wire combined with bone grafting in the treatment of calcaneus intra-articular fracture.Methods：58 cases of closed calcaneus intra-articular fracture were given open reduction and internal fixation with Kirschner wire combined with bone grafting.Results：Afteroperation X-ray measurement：Bohler angle was 30 ° and Gissane angle was 132 °.According to the Maryland scoring system,the good rate was 87.1%,excellent 30,good 24,ok 6,poor 2.Conclusion：This method has better clinical curative effect with short operation time,small trauma,less postoperative complications and exact curative effect.The removal of Kirschner wire is convenient without reoperative.This method has a certain advantage in the treatment of calcaneus intra-articular fracture.