解剖钢板和加压螺栓治疗跟骨关节内骨折的临床疗效研究

Clinical Effect of Anatomical Plate and Compression Bolt in the Treatment of Intra-articular Calcaneal Fractures

对2009年1月～2013年6月治疗的100例（111足）跟骨关节内骨折（DIACFs）患者的情况进行分析。其中包括62例（71足）微创解剖钢板和加压螺栓治疗的患者（CIC 组），38例（40足）外侧L 形切口 AO 解剖钢板和螺钉治疗的患者（传统 AO 组）。通过与传统AO 解剖钢板和螺钉固定治疗结果相比较，分析应用微创解剖钢板和加压螺栓方法治疗 DIACFs 的临床效果。研究发现，解剖钢板和加压螺栓微创法与传统手术相比可以减少手术后的某些并发症，同时坚实的内固定有利于患者更早的进行负重康复，治疗效果良好。

This study analyzed 100 patients （111 feet） for displaced intra-articular calcaneal fractures （DIACFs） between January 2009 to June 2013, retrospectively. In which, 38 patients （40 feet） were treated with open reduction and internal fixation （AO group）, which involved using a traditional L-shaped extended lateral approach, and fractures were fixed by plate and screws. 62 patients （71 feet） were treated with a minimally invasive approach featured the concept of calcaneal internal compression （CIC group）, which was achieved by an anatomic plate and multiple compression bolts through a small lateral incision. In addition, we compared the outcomes between the anatomic plate and compression bolts with traditional open reduction and internal fixation with AO plate and screws for DIACFs. The results indicated that this minimally invasive approach featured the concept of the calcaneal internal compression can achieve functional outcome as good as, if not better than the open techniques. Besides, it can decrease the complications associated with soft tissue, and the rigid internal fixtion allowing weight-bearing exercise earlier. All in all, it is proved to be an effective alternative treatment for DIACFs.