改良跟骨钢板治疗跟骨关节内骨折的临床效果观察

Observation on clinical effect of improved calcaneus plate in the treatment of calcaneal intraarticular fracture

目的评价改良跟骨钢板治疗跟骨关节内骨折效果以及实施价值。方法 92例跟骨关节内骨折患者,随机分为对照组和实验组,各46例。对照组给予手法复位、克氏针撬拨复位治疗,实验组给予改良跟骨钢板治疗。对比两组患者的治疗效果以及Maryland足部评分情况。结果治疗3个月后,实验组治疗优良率93.48%高于对照组的78.26%,Maryland足部评分优良率93.48%高于对照组的56.52%,差异有统计学意义(P<0.05)。结论针对跟骨关节内骨折采取改良跟骨钢板治疗更具有效性价值,患者短时间恢复良好,具有推行优势。

Objective To evaluate the effect and value of improved calcaneus plate in the treatment of calcaneal intraarticular fracture. Methods A total of 92 calcaneal intraarticular fracture patients were randomly divided into control group and experimental group, with 46 cases in each group. The control group received manual reduction and Kirschner＇s needle prying reduction, and the experimental group received improved calcaneus plate therapy. Comparison were made on treatment effect and Maryland foot score between two groups. Results After 3 months of treatment, the experimental group had higher good rate of treatment as 93.48% than 78.26% in the control group, and higher good rate of Maryland foot score as 93.48% than 56.52% in the control group. Their difference was statistically significant （P〈0.05）. Conclusion The improved calcaneus plate is more effective in the treatment of calcaneal intraarticular fracture, and patients recover well in a short time. It contains implementation advantages.