《中国康复理论与实践》

《中国康复理论与实践》 ›› 2009, Vol. 15 ›› Issue (03): 276-278.

• 临床研究 • 上一篇    下一篇

切开复位跟骨钢板内固定治疗累及关节面的跟骨骨折

刘克敏1,2;唐涛1,2;冯建璞1,2;刘四海1,2;崔志刚1,2;王安庆1,2   

  1. 1.首都医科大学康复医学院，北京市 100068;2.中国康复研究中心北京博爱医院骨科，北京市 100068
  • 收稿日期:2008-11-25 出版日期:2009-03-01 发布日期:2009-03-01

Effect of Internal Fixation of Plates on Displaced Intra-articular Fracture of Calcaneus

LIU Ke-min, TANG Tao, FENG Jian-pu, et al   

  1. Department of Orthopedics, Capital Medical University School of Rehabilitation Medicine, Beijing Charity Hospital, China Rehabilitation Research Centre, Beijing 100068, China
  • Received:2008-11-25 Published:2009-03-01 Online:2009-03-01

PDF (PC)

被引次数

13

摘要： 目的 探讨手术切开复位跟骨钢板内固定治疗累及关节面的跟骨骨折的疗效。方法 对27例跟骨骨折患者的临床资料进行回顾性分析。结果 27例均为闭合性跟骨关节内骨折，Sanders Ⅱ型18例、Ⅲ型9例。6例（22.2%）发生切口处皮缘坏死；Bohler角术前平均7.5°，术后平均27.54°。20例获平均16.8个月随访，所有患者均恢复正常行走，无活动受限和影响穿鞋主诉。结论 切开复位跟骨钢板内固定治疗累及关节面的跟骨骨折，能够获得满意的解剖复位，疗效可靠。

关键词: 跟骨骨折, 关节面骨折, 跟骨钢板, 内固定术

Abstract: Objective To investigate the effect of internal fixation of plates on displaced intra-articular fracture of the calcaneus. Methods 27 patients with calcaneal fracture and treated surgically with open reduction and internal fixation were analyzed retrospectively. Results All the cases are closed fracture. According to the Sanders classification, 18 cases were type 2 calcaneal fractures, and 9 were type 3. 6 cases (22.2%) showed wound-healing problems. The average Bohler's angle before and after surgery was 7.5° and 27.54° respectively. 20 patients were followed up for average 16.8 months, and all showed excellent walking ability and normal gait, and no shoe wear complaints. Conclusion Open reduction and internal fixation can guarantee the anatomic reduction of displaced calcaneal fractures, and the outcomes are satisfied.

Key words: calcaneal fractures, intra-articular fracture, calcaneal plate, internal fixation