【摘要】 目的评价跟骨骨折根据不同分型选择不同治疗方案的临床效果。方法采用非手术治疗Ⅰ型跟骨骨折7例,闭合复位空心螺钉内固定术治疗Ⅱ型跟骨骨折7例,切开复位跟骨解剖型钛板内固定术治疗Ⅱ型跟骨骨折8例、Ⅲ型跟骨骨折16例、Ⅳ型跟骨骨折2例,距下关节融合术治疗Ⅳ型跟骨骨折2例。结果所收录病例治疗后均随访12个月以上,按照Mayland足部评分标准评价治疗效果:Ⅰ型优良率为100.0%,Ⅱ型优良率为93.3%,Ⅲ型优良率为83.3%,Ⅳ型优良率为16.7%。结论 (1)跟骨骨折应根据不同分型选择相应治疗方案;(2)骨折分型越严重,治疗越复杂,疗效越差。更多还原

【Abstract】 Objective To evaluate the clinical effects of different treatment methods that depended on the different typing of calcaneus fractures. Methods Seven cases of typeⅠcalcaneus fracture were given non-surgical treatment, 7 cases of type Ⅱ calcaneus fractures were given closed reduction and cannulated screw fixation treatment, 8 cases of type Ⅱ calcaneus fractures, 16 cases of Ⅲ type calcaneus fracture and 2 cases of type Ⅳ calcaneus fractures were given open reset calcaneus anatomical titanium plate fixation treatmen, 2 cases of type Ⅳ calcaneus fractures were given thesubtalar arthrodesis treatment. Results All the cases after treatment were followed up for more than 12 months. Accordance with the the Mayland foot score to evaluate the therapeutic effect: the good rate of type Ⅰ, Ⅱ, Ⅲ and Ⅳ fracture were 100.0%, 93.3%, 83.3% and 16.7% respectively. Conclusion (1)Calcaneus fractures should select the appropriate treatment methods accordance with the different type. (2)The more type of fractureis serious, the moretreatment is complex and the effectis worse.更多还原