手术治疗96例跟骨骨折的体会

Experience of surgical treatment for 96 cases with calcaneal fractures

目的:探讨跟骨骨折手术的疗效与注意事项。方法:收治跟骨骨折患者96例,均采用切开复位内固定治疗。结果:术后切口Ⅰ期愈合84例,12例出现切口皮肤部分坏死、钢板外露。患者均获随访,远期随访骨折均愈合。临床疗效优良86例,优良率89.58%。结论:累及关节面的跟骨骨折合理进行切开复位内固定手术治疗可获得满意的临床疗效。

Objective:To discuss the curative effect and the precautions of the treatment for patients with calcaneal fracture. Methods:96 patients with calcaneal fracture were selected,all patients were treated with open reduction and internal fixation. Results:In 96 patients,84 patients healed by first intention,12 cases of skin necrosis of incision and exposed plate.All patients were followed up,and all of them with fractures healed for long-term follow up.The clinical effect was excellent and good in 86 cases,the excellent and good rate was 89.65%.Conclusion:Patients with calcaneus fracture involving the articular surface treated by reasonable open reduction and internal fixation can obtain satisfactory clinical curative effect.