切开复位锁定钢板内固定治疗跟骨骨折的临床效果观察

Clinical Effect of Open Reduction and Internal Fixation in Treatment of Calcaneal Fracture

目的观察切开复位锁定钢板内固定治疗跟骨骨折的临床疗效。方法选择我院2012年1月~2015年6月33例跟骨骨折患者,其中单侧32例,双侧1例,所有患者经过X线以及跟骨CT检查均确诊为闭合性关节内移位骨折。行切开复位锁定钢板内固定术。对患者随访半年,观察患者恢复的疗效,测量术后Bohler＇s角和Gissane＇s角的恢复情况。观察患者并发症发生情况。结果 33例患者共有34患足,其中25例恢复为优,1例恢复为差。患者治疗后Bohler＇s角与Gissane＇s角基本恢复正常,且两组角度与术前相比具有统计学差异（P〈0.05）。随访6个月后,出现3例并发症,其中2例为跟骨畸形（单足）,1例创伤性关节炎。术后并发症的发病率为8.82%。结论切开复位锁定钢板内固定术对跟骨骨折具有良好的临床疗效,且术后并发症发生率较低。

Objective To observe the clinical effect of open reduction and internal fixation in the treatment of calcaneal fractures.Methods In our hospital from January 2012 to June 2015 33 cases of calcaneal fractures, including 32 cases of unilateral, bilateral 1 cases, all patients were confirmed by X-ray and CT examination of the calcaneal fracture of the closed joint. Open reduction and internal fixation with locking plate. Patients were followed up for six months to observe the curative effect of recovery, the recovery of Bohler＇s angle and Gissane＇s angle were measured. To observe the occurrence of complications.Results A total of 34 cases of 33 patients suffering from foot, of which 25 cases were excellent, 1 patients recovered as poor. After treatment, the Bohler＇s angle and Gissane＇s angle were basically normal, and the difference between the two groups was statistically significant（P〈0.05）. 6 patients were followed up for months, there were 3 cases of complications, including 2 cases of calcaneal deformity（Dan Zu）, 1 cases of traumatic arthritis. The incidence of postoperative complications was 8.82%.Conclusion Open reduction and internal fixation for calcaneal fractures has good clinical effect, and the incidence of postoperative complications was low.