有限内固定治疗跟骨骨折疗效分析

目的评价有限内固定治疗跟骨骨折的临床疗效。方法自2003年4月至2007年4月对22例跟骨骨折采用有限切开复位多枚螺钉和（或）空心钉内固定治疗。骨折按Sanders分型：Ⅱ型8例。Ⅲ型12例。Ⅳ型2例。对临床结果进行分析总结。结果经术后8～15月。平均11个月随访。骨折均获临床愈合。按Maryland足部评分系统评价术后功能，优10例，良9例，优良率86．4％。结论有限内固定治疗跟骨骨折，符合微创治疗原则。操作简单，并发症少。是治疗跟骨骨折的有效方法之一。

The clinical effect in treating intra-articular fracures of calcaneus with limited internal flxzation

Objective To evaluate clinical effect in treating intra-articular fraeures of ealeaneus with limited internal fixzation. Methods From April 2003 to April 2007 in our department,22 cases of intra-articular calcaneal fractures were treated with limited internal fixation. These fractures were classified by the standard of Sanders,including 8 cases of type Ⅱ ,12 cases of type Ⅲ ,and 2 cases of type IV ,the clinical effect was analysed. Results All the patients were followed from 8 to 22 months with an average 11 months, According to the Maryland foot score, the excellent,good and fair curative effects were achieved in 10,9 and 3 cases respectively with an excellent and good curative rate of 86.4%. Conclusion The limited internal fixation is an ideal method in treating intra-articular calcaneal fractures because of eausea mininal soft tissue damage,little complication and it is simple procedure.