AO钛钢板内固定治疗累及跟距关节的跟骨骨折分析

目的探讨切开复位AO钛钢板内固定治疗累及跟距关节的骨跟骨折的效果。方法行切开复位AO钛钢板内固定治疗累及跟距关节的跟骨骨折36例38侧，比较手术前后Bolder角和Gissane角。平均随访11．2个月。结果所有患者均恢复正常行走，Bohler角手术前平均-7．20°，手术后平均22．31°；Gis-sane角手术前平均158．70°，手术后平均113．30°。结论对于累及跟距关节的跟骨骨折行切开复位AO钛钢板内固定，可以恢复跟距关节，达到解剖复位，患者能够早期进行功能锻炼。

The treatment for calcaneus fracture involving talocaneal joint with AO titanium plate

Objective The treatment of open reduction and internal fixation with AO titanium plate was applied for calcaneus fracture involving talocalcaneal joint. Methods 36 patients were performed with this method, the Bolder angle and Gissane angle of calcaneus were compared before and after operation. The patients were followed up for an average period of 11.2 months. Results All the patients were well healed, the average data of Bolder angle was 22. 31° after operation while - 7. 20° before operation. Conclusion The treatment of open reduction and internal fixation with AO titanium plate is a kind of good method for calcaneus fracture involving talocalcaneal joint. It can not only resume the Bohler angle and Gissane angle, but also resume length, breadth, height of calcaneus. As a result, it can achieve anatomical reduction and patients can do exercises as soon as possible.