跟骨骨折切开复位内固定术(47例临床疗效分析)

Open Reduction and Internal Fixation for Treatment of Calcaneus Fracture-47 Cases Report

目的:评价切开复位内固定对跟骨关节内骨折的治疗效果.方法:使用自制'山'形钢板对47例59侧跟骨骨折进行治疗,骨折r分型采用Sanders分型法,59侧均获随访、随访时间3个月36个月,平均13个月.结果:按Maryland足部评分系统功能本组59侧骨折中,优30例,良25例、可4例,优良率93.2%.结论:对于关节面有移位的跟骨骨折应尽可能行切开复位内固定术.

ve: To evaluate the effect of open reduction and internal fixation for calcaneal fracture. Methods: '山'-shaped plate were used in 59 calcaneal fracture of 47 patients. Those fractures were classified according to Sanedrs classiflcation.Fiftynine fracture were followed up from 3months-36 months(average 13 months). Results: Results were evaluated using the Maryland Foot Score, and excellent results occurred in 30, good 25, fair in 4, the rate of excellent and good clinical result were 93.2%. Conclusion: Open reduction and internal fixation should be considered fully in all calcaneal fracture with intra-articular surface displacement.