Surgical Treatment of Calcaneal Fracture

Objective To evaluated the surgical techniques and results of open reduction and internal fixation of the inter-articular calcaneal fractures.Methods From March 2003 to October 2004,80 sides of calcaneal fractures in 69 patients were treated with open reduction and Y-shaped plate fixation through lateral approach,most of them supplemented by autogenous bone grafting.According to Sanders classfication,40 sides were accouned for type Ⅱ,28 for type Ⅲ,12 for type Ⅳ.During operation,lateral roentgenograms were made to assess Blder angle and Gissane angle,Brden view was made to evaluate congruency of the posterior face.All the cases were followed-up for an average of 17 months(range 9 to 28 months).Results The clinical results were evaluated according to Maryland Foot Score,excellent results achieved in 38 cases,good in 30,fair in 10,poor in 2,excellent and good rate was 85%.Conclusion The surgical techniques and results of internal fixation to fractures are related to anatomic features of calcaneus and their injury mechanism.It is an effective method of treatment of calcaneus fracture.