切开复位内固定术治疗跟骨关节内骨折疗效观察

摘要

目的 观察切开复位内固定术治疗跟骨关节内骨折的疗效.方法 回顾性分析骨科应用跟骨“Y”型解剖接骨板治疗跟骨骨折21例患者的临床资料,术后观察切口愈合情况及Maryland足部评分.结果 术后复查X线片提示跟骨高度、B(o)lher's角及Gissane角均较术前明显改善.术后21例患者Maryland足部评分结果为:优11例,良8例,中2例,优良率90.48％.结论 对于跟骨关节内骨折,我们认为需要积极行切开复位内固定术治疗,术中注意软组织保护,尽可能骨折复位,充分引流和术后加强切口管理是取得较满意疗效的关键.%Objective To study the clinical results of operative fixation for intraarticular calcaneal fractures. Methods 21 patients with intraarticular calcaneal fractures were treated with anatomic plate fixation. The recovery of the surgery cut was observed. The foot function evaluation was evaluated by Maryland Foot Score. Results After operation, The height of calcaneal. Bolher's angle and Gissane angle were better than thoes before treatment. According to Maryland Foot Score for foot joint function, there were 11 excellent cases and 8 good cases. Conclusion The clinical results of operative fixation for intraarticular calcaneal fractures is sure.