Thirty-two Cases of Plate Fixation by Open Reduction in Treatment of Internal Calcaneal Fracture

Objective:To study and analyze the therapeutic effects of plate fixation by open reduction in treatment of calcaneal fracture.Method: 32 cases of calcaneal fracture treated in our hospital from December 2011 to February 2012 were selected as the research objects and there were altogether 36 feet.Those feet with calcaneal fracture were divided into three groups according to the Sanders method,which were respectively standard II type(11 feet);standard III type(17 feet);standard IV type(8 feet).The calcaneal fracture of these 32 patients were all treated with plate fixation by open reduction outside the calcaneus,and telephone follow-up was carried out to the patients during 6 to 24 months after operation.Result:Telephone followup was carried out to all patients,and their foot functions were evaluated according to the Maryland scoring system.Among them,there were 21 feet with excellent functional evaluation,12 feet with good functional evaluation and 3 feet with passable functional evaluation,and the excellent and good rate reached 91.67%.The adverse reactions included:there were two feet with effusion of operative incision,but they recovered by themselves after fresh dressings for the wounds were changed;there was one foot with damage on the sural nerve,and the total occurrence rate of adverse reactions was 8.33%.Conclusion:The therapeutic effects of plate fixation by open reduction in treatment of calcaneal fracture is obvious,the excellent and good rates in foot function recovery is high,and the rate of adverse reactions is low,so it is worth to be widely applied clinically.