改良跟骨外侧L形切口手术治疗跟骨骨折

目的探讨改良跟骨外侧L形切口的新型入路手术治疗跟骨关节内骨折方法及临床效果。方法2008年2月～2011年10月收治跟骨关节内骨折患者46例52侧，均采用改良跟骨外侧L形切口手术治疗，术中骨折复位后常规植骨，选择跟骨解剖型钛板内固定。结果随访时间6～18个月，伤1：3愈合良好，局部皮缘坏死2侧，其中发生感染1侧。骨折平均愈合时间8-16周，按Maryland足部评分系统进行功能评定，优良率为90．4％。结论改良跟骨外侧L形切口手术治疗跟骨关节内骨折能减少术后创缘皮肤坏死、不愈合，减少伤口不愈合引起的跟骨感染等并发症。

Improved calcaneal lateral L-shaped incision surgery for calcaneal fracture

Objective To investigate the methods and clinical effects of improved calcaneal lateral L-shaped incision new approach for surgical in the treatment of calcaneal intra-articular fractures.Methods Forty six cases of patients(52 sides) with calcaneal intra-articular fractures admitted from February 2008 to October 2011,all received improved lateral calcaneal L-shaped incision surgery,conventional bone graft after intraoperative fractures,then selected calcaneal anatomy titanium plate fixed.Results Follow-up for 6 to 18 months,the wound healed well,local skin flap necrosis occurred in two sides,in which one side of infection.The average healing time was 8 to 16 weeks,function was evaluated according to the Maryland Foot Score,the excellent rate was 90.4%.Conclusion Improved lateral calcaneal L-shaped incision surgery for calcaneal intra-articular fractures can reduce postoperative wound edge skin necrosis and nonunion,and reduce calcaneal infection and other complications caused by wound nonunion.