Modified incision for the treatment of intra-articular calcaneal fractures.

Objective To evaluate the clinical effects of modified incision and traditional incision in the treatment of intra-articular calcanea fractures.Methods Seventy-five cases of intra-articular calcaneal fracture were treated with open reduction and interal fixtion by a plate from January 2005 to December 2008.Thirty-four cases were treated with modified incision and 41 cases with traditional incision.Six items of the two groups were evaluated by SPSS17.0: operating time,incision length,incision complication rate,Bhler's angle,Gissane's angle and AOFAS score.Results There was significant difference in operating time,incision length and incision complication rate between the two groups(P0.05),but there was no significant difference in Bhler's angle,Gissane's angle and AOFAS score(P0.05).Conclusion The modified incision not only can achieve the same clinical effects to the traditional incision in reconstructing the calcaneal anatomic structure and recovering excellent weight-bearing function but also can reduce operating time,incision length and incision complication rate.