Objective: To investigate the clinical effection of treating heels fracture through incision and resetting and internal reinforcing with steel plate. Method: 32 patients with 36 heels fracture that were cutted open and resetted and internally fastened and embedded iliac bone ( or artificial bone)after 7 to 14 days with plaster temporary settlement. We have been recovered the anatomy location of calcaneus-astragalus joint and Bohler and Gissane angle with operation. Result: 36 feet have been visited after operation for 26 months averagely. We have been evaluated curative effect on the basis of Maryland foot function grade system. 20 feet were the best effection, 12 feet were better, 4 feet were good. The best and better rate was 88.9％.Conclusion: It is satisfied for curative effect of heels fracture with postpone operation , that were cut open and resetted and internally fastened and embedded iliac bone (or artificial bone).%目的:探讨延期手术切开复位钢板内固定治疗跟骨骨折的临床疗效.方法:对32例36足跟骨骨折,采用石膏临时固定后7-14d,择期行切开复位钢板内固定及髂骨(或人工骨)植骨进行治疗.通过手术将跟距关节面解剖复位,恢复Bohler角和Gissane角.结果:36足均获得随诊,平均随诊26个月.按Maryland足部功能评分系统进行疗效评定,优20足,良12足,可4足,优良率88.9%.结论:采用延期手术切开复位钢板内固定及髂骨(或人工骨)植骨治疗跟骨关节内骨折疗效满意.
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