异型钢板加植骨治疗跟骨骨折疗效分析

目的探讨跟骨关节内骨折手术切开复位及植骨的治疗方法及其疗效。方法随访2008年8月～2011年2月采用手术切开复位、异形钢板内固定加植骨治疗SandersⅡ～Ⅳ型跟骨骨折35例38足,其中Ⅱ型7足,Ⅲ型26足,Ⅳ型5足。术后随访8～36个月,平均15±9个月。结果疗效评定标准采用Maryland足部评分系统,评价效果,优27足,良7足,可4足,优良率为89.5%;早期伤口皮缘坏死10足,发生率占26.3%。结论异型钢板加植骨治疗累及距下关节面的跟骨骨折疗效确切,但须注意切口皮瓣并发症。

Analysis of efficacy and treatment of calcaneal fractures by shaped plate and bone graft

Objective To study the methods and their efficacy of intra-articular calcaneal fractures treated with open reduction and bone grafting.Methods Follow-up August 2008-February 2011 using surgical open reduction,internal fixation and bone graft shaped treatment Sanders Ⅱ~Ⅳ type calcaneal fracture 35 cases of 38 feet,7 feet which type Ⅱ,Ⅲ in 26 feet,Ⅳ in 5 feet.Patients were followed up 8 to 36 months,an average of 15±9 months.Results The evaluation criterion used by the Maryland Foot Score,evaluation of the results,excellent in 27 feet,good in 7 feet,general in 4 feet,good 89.5%;early wound 10 feet of skin flap necrosis,the occurrence rate of 26.3%.Conclusions It is effective of involving the subtalar joint surface of the calcaneus fracture treated with shaped plate and bone grafting,but it should be noted that the incision flaps complications.