目的 探讨跟骨锁定钢板与植骨治疗跟骨内粉碎骨折.方法 本组21例,男12例,女9例;年龄24～78岁,平均42.5岁;均为单侧损伤:左侧8例,右侧13例.受伤原因:高处落伤12例,交通伤6例,楼梯踏空摔伤3例.其中5例合并其他损伤.均采用跟骨锁定钢板与植骨治疗.结果 18例获随访,时间10～21个月,平均15.5个月.骨折愈合时间7～14周,平均11.4周,无延迟愈合及不愈合.骨折端无移位,根据Maryland评分标准,患侧在末次随访时平均为81.7分(60～94分),其中优(90～100分)6例,良(75～89分)9例,一般3例(50～74分),优良率为83.3%.结论 跟骨锁定钢板与植骨治疗跟骨关节内粉碎性骨折,具有操作简便、固定可靠及利于患肢早期进行功能锻炼等优点,是日前治疗该类创伤较为理想的方法.%Objective To investigate the therapy of calcaneus comminuted fracture with calcaneus locking plate and bone grafting. Methods There were 21 cases including 12 male , 9 female ; the age were are between 24～78 years old and average was 42.5 years old. All the cases were all unilateral injury -8 left and 13 right. The cause of injury included 12 cases by high fall, 6 cases by traffic accident,3 cases oy fell downstairs(5 cases complicated with other injury). All the cases treated with calcaneus locking plate ana bone grafting. Results 18 cases follow-up studied 10～21 months and average 15.5 months. The fracture healing was in 7～14 weeks (11.4 weeks). No case was nonunion or delayed healed .The fracture pole was undisplaced. According the evaluation of Maryland Score , latest follow-up the injury side scores were 60～94(average 81.7),including 6 excellent cases (90～100),9 good cases (75～89),3 poor cases (50～74), good and excellent was 83.3％ . Conclusions Calcaneus locking plate and bone grafting show the advantage for treating calcaneus comminuted fracture: easy tc operate. reliable to fixation and early to ehabilitation affected extremity exercise, and is more fairly ideal method to treat such injury.
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