跟骨骨折手术中的螺钉问题

目的 总结钢板螺钉治疗关节内跟骨骨折手术的螺钉问题。方法 应用解剖型AO跟骨钢板治疗关节内跟骨骨折60例。对术后早期出现的螺钉并发症进行分析。结果 随访22个月，螺钉松动1例，螺钉位置不当2例。结论 解剖型AO跟骨钢板治疗关节内跟骨骨折能充分恢复跟骨形态，但需充分术前准备增加螺钉固定位置的准确性，降低手术并发症。

Screw problem in operative treatment of calcaneal fractures

Objective To summarize the early complications caused by the screws of AO titanium plate in the operative treatment of the displaced intraarticular calcaneus fracture (DIACFs). Methods 60 patients with calcaneal fractures were treated with ORIF (open reduction with internal fixation) using the AO plate. Results All the cases were followed up for 22 months. There appeared 1 case of screw loosening and 2 cases of improper screw location. Conclusion Although the AO titanium plate can improve the anatomic restoration of the calcaneus shape, sufficient preoperative preparation should be made to secure accurate placement of the screws so that the screw problems can be reduced.