解剖型跟骨钛板并植骨治疗跟骨关节内骨折的临床疗效

目的：探讨解剖型跟骨钛板并植骨治疗跟骨关节内骨折的临床疗效。方法选择2009年3月～2012年5月期间收治的25例（33足）SanderslⅡ～Ⅳ型跟骨关节内骨折患者，男性20例（26足），女性5例（7足）；年龄15～65岁，平均（36.16±14.63）岁。单足17例，双足8例，采用切开复位解剖型跟骨钛板内固定并植骨进行治疗，术中恢复跟骨解剖形态，按Maryland足部评分系统进行术后功能评分，评价手术效果，进行系统的回顾性总结分析。结果本组25例（33足）术后均获12～36个月随访（平均19.3个月），按Maryland足部评分标准：优17足、良12足、可4足，差0足；优良率为87.88％。结论解剖型跟骨钛板并植骨治疗跟骨关节内骨折能够恢复跟骨距下关节面平整，有利于患者早期功能锻炼，疗效可靠。

Curative effect of anatomical Ti-plate fixation combining with bone graft in the treatment of intra-articular calcaneal fractures

Objective To investigate the curative effect of anatomical Ti-plate combined with bone graft in treatment of intra-articular calcaneal fractures .Methods Retrospective analysis was conducted in 25 patients with 33 feet from Mar.2009 to May 2012,who were diagnosed as Sanders typeⅡ-Ⅳintra-articular calcaneal fractures .There were 20 males（26 feet） and 5 females （7 feet） with average age of （36.16 ±14.63）years（ranged from 15 to 65 years old） .There were 17 cases of single foot injury and 8 cases of double feet injury .All the patients were treated with Ti-plate fixation combined with bone graft and their calcaneal anatomic forms were recovered during operation .Mary-land foot score was used to evaluate the postoperative function .Results All the 25 cases （33 feet） were followed up for 12-36 months,with a mean time of 19.3 months.According to Maryland foot score ,17 feet were rated as excellent , 12 feet as good,4 feet as moderate.The excellent and good rate was 87.88 %.Conclusion Anatomical Ti-plate combined with bone graft for treatment of intra-articular calcaneal fractures can restore the smoothness of subtalar joint surface,help patients take earlier functional exercise and obtain a reliable curative effect .