目的：探讨克氏针撬拨顺序复位联合接骨板内固定治疗SandersⅡ～Ⅳ型跟骨关节内塌陷骨折的疗效。方法应用克氏针联合接骨板内固定术式治疗SandersⅡ、Ⅲ、Ⅳ型42例50足跟骨关节内骨折。结果所有患者均获随访，随访时间6～24个月，平均（14±9．5）个月。实验组手术时间、手术出血量和VAS评分均小于对照组，差异有统计学意义（ P＜0．05）。两组患者术后Böhler′s角、Gissane角、跟骨长度和丘部高度相比差异有统计学意义（P＜0．05）。两组跟骨宽度和结节部高度相比差异无统计学意义（P＞0．05）。对照组Fernandez跟骨骨折功能组优良率69．05％，实验组92．86％，两组优良率相比差异有统计学意义（ P＜0．05）。结论克氏针撬拨顺序复位联合接骨板内固定是治疗SandersⅡ～Ⅳ型跟骨关节内塌陷骨折的有效方法。%Objective To investigate the effect of Kirschner wire assisted plate fixation in treatment of intra-articular calcaneal fractures .Methods 50 cases in 42 patients of intra-articular calcaneal fractures (Type of SandersⅡ ,ⅢandⅣ) were treated with Kirschner wire assisted plate fixation .Results All cases were followed up for (14 ± 9 .5)months(6~24 months) .Operation time ,the amount of bleeding and VAS scores of the test group were signifi-cantly less than the control group(P<0 .05) .Böhler′s angle ,Gissane angle ,calcaneal length and thalamus height of two groups had significant difference(P<0 .05) .Calcaneal width and height of the tubercle of the two groups calca-neal tubercle height had no significant difference(P>0 .05) .Fernandez calcaneal fractures function excellent rate of control group was 69 .05% and test group was 92 .86% .Excellent rate of two groups had significant difference (P<0 .05) .Conclusion Kirschner wire assisted plate fixation is an effective method in treatment of intra-articular calca-neal fractures .
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