钢板内固定治疗跟骨关节内骨折32例疗效分析

Treatment of intra-articular calcaneal fracture with plate fixation: Analysis of 32 cases

摘要: 目的:探讨切开复位钢板内固定治疗跟骨关节内骨折的疗效。方法:对32例切开复位内固定治疗的跟骨关节内骨折进行随访,随访结果采用Kerr百分制评分系统评定疗效。结果:随访12~24个月,术后4个月骨折全部愈合。Kerr评定优12例,良16例,差3例,极差1例,优良率87.5%。结论:切开复位钢板内固定治疗跟骨关节内骨折是一个较好的方法,切开复位能有效恢复关节面的平整和跟骨的外形、力线。

Abstract: Objective: To investigate the efficacy of open reduction and internal plate fixation in treating intra-articular calcaneal fracture.Methods: Thirty-two cases of intra-articular calcaneal fracture were treated with open reduction and internal plate fixation.All the cases were followed up and Kerr assessment score was used to evaluate the therapeutic effect.Results: The follow-up lasted for 12-24 months.All the fractures healed 4 months after the operation.The Kerr assessment score showed that the results were excellent in 12 cases,fair in 16 cases,poor in 3 cases and bad in 1 case.The fine rate was 87.5%.Conclusions: Open reduction and internal plate fixation is a good method for treatment of displaced intra-articular calcaneal fractures.Open reduction can also restore the articular congruency,the shape and alignment of the calcaneus.