【摘要】 目的评价异形钛板固定治疗SandersⅡ、Ⅲ型跟骨骨折的临床疗效。方法按Sanders分型,对45例62足SandersⅡ、Ⅲ型跟骨骨折术前进行跟骨侧位、轴位X线摄片及跟骨CT平扫并三维重建,予克氏针撬拨复位,局部植骨,异形钛板做有效固定治疗。随访12~38个月,平均26个月。结果按Maryland足部功能评分,本组62足中,优20足,良38足,可4足,优良率93.5%。结论对移位的跟骨关节内骨折切开复位,植骨重建跟骨形态,行内固定治疗是一种有效的方法,正确把握手术时机及早期功能锻炼可预防和减少骨折并发症的发生。更多还原

【Abstract】 Objective To evaluate the clinical efficacy of special shaped titanium plate fixation in the treatment of Sanders type Ⅱ, Ⅲ calcaneal fractures. Methods According to the Sanders’ classification system, 45 cases(62 feet) with Sanders type Ⅱ, Ⅲ calcaneal fractures were done preoperative calcaneal lateral, axial X-ray radiography and calcaneal CT scan and three-dimensional reconstruction,and Kirschner repositioning operation, local bone-grafting, and effectively special shaped titanium plate fixation. 45 cases were followed up for 12-38 months, the average was 26 months. Results According to the Maryland foot rating system, there were excellent in 20 feet of 62 feet,good in 38 feet and fair in 4 feet, the excellent and good rate was 93.5%. Conclusion Open reduction for displaced intra-articular calcaneal fractures, bone-grafting to reconstruct the calcaneal shape, fixation is an effective method, correctly grasping the operation time and early functional exercises can prevent and reduce the incidence of fractures complications.更多还原