外侧扩大“L”形切口、不植骨、钢板内固定治疗跟骨关节内骨折

目的评价外侧扩大＂L＂形切口切开复位、不植骨、钢板内固定治疗有移位的跟骨关节内骨折的治疗效果。方法采用外侧扩大＂L＂形切口切开复位、不植骨、钢板内固定治疗28例34足有移位的跟骨关节内骨折,随访l8～30个月,平均24个月。结果按Maryland足部评分系统评价术后疗效。本组34足中：优25足、良7足、可2足,优良率94.1%。结论外侧扩大＂L＂形切口切开复位、不植骨、钢板内固定治疗有移位的跟骨关节内骨折效果良好。

Extended lateral L-shape approach,no-bone grafting,open reduction and internal fixation of displaced intra-articular fractures of the calcaneus

Objective To evaluate the results of intra-articular calcaneal fractures treated with no-bone grafting,open reduction and internal fixation using extended lateral L-shape approach. Methods According to Sanders classification,34 calcaneus fractures in 28 patients of Sanders type Ⅱ、Ⅲ、Ⅳ fractures were treated by open reduction,no-bone grafting,internal fixation. All patients were followed-up for 18 to 30 months（average 24 months）.Results Results were evaluated using Maryland Foot Score and excellent results occurred in 25,good in 7,fair in 2,the rate of excellent and good clinical results were 94.1%.Conclusion Open reduction and non-bone grafting,internal fixation for displaced intra-articular fractures of the the calcaneus are recommended.