Surgical Treatment of Intra-articular Calcaneal Fractures:An Analysis of 106 Cases

Objective To investigate the surgical treatment of intra-articular calcaneal fractures and the measures for prevention and control of complications.Methods One hundred thirty-five intra-articular calcaneal fractures of 106 patients were treated by open reduction and internal fixation at the department of orthopaedics.The fractures were classified according to the Sanders system,including 51 type Ⅱ,62 type Ⅲ and 22 type Ⅳ.All patients were followed up for 5 to 20 months to observe the complications and postoperative functional recovery,and the therapeutic efficacy was evaluated.Results All fractures healed with good functional recovery.There were excellent in 58 cases,good in 38 cases,the rate of good and excellent outcomes was 90.57%.Delayed wound healing occurred in 4 cases,wound infection in 2 cases,and persistent postoperative pain in 4 cases.The incidence of complications was 9.43%.Conclusion Open reduction and internal fixation is an effective treatment for intra-articular calcaneal fractures.