Surgical treatment of calcaneal intra-articular fractures efficacy analysis

Objective To explore surgical treatment of calcaneal intra-articular fractures. Methods March 2007 December 2010 total 20 cases with 26 feet of calcaneal fractures used open reduction plate fixation(14 cases of men,four were women);Age 18-39,average 28 years old. Fracture Sanders points type:type Ⅱ(8 feet),type Ⅲ(13 feet), type Ⅳ(5 feet).Used open reset H plate fixation after the reset heel bone articular surface bone defect obvious,grafted from autogenous iliac.Results Among 3 cases 4 foot lost follow-up, other patients get 8-37 months (mean 10 months) follow-up.Calcaneal nodules Angle before surgery 10.3°±5.8°return to 39.2°±2.3°after surgery.From Calcaneal body Calcaneal thalamus height is (37.2±3.0)mm before surgery return postoperative (43.8±2.0)mm ,difference was statistically significant (Calcaneal nodules Angle t = 23.317, P= 0.000; From Calcaneal body Calcaneal thalamus height t=8.669,P= 0.000).Six months after surgery of X-ray film has showed all of calcaneal fractures bony healed, Did not see obvious osteoarthritis pine.Kerr postoperative evaluation standard:Optimal 15 feet;6 feet were good; 1 feet was slightly worse.For 95%dykes.Conclusion Open reduction steel plate fixation for calcaneal fractures fully recovered calcaneal nodules Angle、fully recovered under the flatness of talus joints,maintained the relevant power device of normal tension, the displacement of fracture block act on the soft tissue produces undesirable stimulation can be eliminated.