Effect evaluation of surgical treatment on calcaneal fracture

Objective To evaluate the surgical techniques and results of open reduction and internal fixation of the intra - articular calcaneal fractures.Methods From October 2006 to March 2010,75 sides of intra - articular calcaneal fractures in 63 patients were treated with open reduction,most of them supplemented by bone plate fixation of reconstruction,small of them supplemented by autogenous or allogeneic bone grafting.According to Sanders classfication:26 sides were accounted for type Ⅱ ; 35 for type Ⅲ ; 14 for type Ⅳ.During operation,G - arm roentgenograms were made to assess B(o)hler angle and Gissane angle,Broden view was made to evaluate congruency of the posterior face.All the cases were followed-up for an average of 18.2 months ( range 5 to 31 months).Results The clinical results were evaluated according to Maryland Foot Score,excellent results achieved in 38 cases,good in 27 cases,fair in 9 cases,poor in 1 case,excellent and good rate was 86.7％.Conclusions Open reduction and internal fixation is an effective method for treatment of intra - articular calcaneus fracture. Key words: Calcaneus fracture; Bone plate fixation of reconstruction; Open reduction; Internal fixation