Abstract:Objective:To sum up the experience of percutaneous and internal fixation of intra-articular calcaneal fracture. Methods:Fom June 2007 to June 2010, Percutaneous reduction and internal fixtion was performed on 24 cases with intra-articular calcaneal fractures. According to Sanders classification,there were 19 feet of type II(3 type II a,5 type II b and 11 type II c)and 5 feet of type IIIac.Results:All patients were followed up for an average of 16 months (ranged from12 to 24 months). No complications such as wound infection, screw breakage and calcaneum varus were found postoperatively. The average time for bone healing was 14.5weeks.The results were excellent in 17 cases, good in 5 cases, average in 2 cases according to the American Orthopaedic Foot and Ankle Society (AOFAS) hindfoot score. The rate of excellent and good clinical results was 91.6%. Radiography showed basic restoration of Bhler’s angle,Gissane’s angle and calcaneal shape.Conclusions:Percutaneous reduction and internal fixation is suitable for surgical treatment of Sanders II and III type calcaneal fractures, with advantages of simple operation, fewer complications and good clinical results.
王先辉,陈舰,胡孙君,应正然. 经皮撬拨复位空心钉内固定治疗跟骨关节内骨折[J]. 中华解剖与临床杂志, 2013, 18(1): 50-53.
WANG Xian-hui,CHEN Jian ,HU Sun-jun,YING Zheng-ran. Percutaneous Reduction and Internal Fixation in the Treatment of Intra-articular Calcaneal Fractures. Chinese Journal of Anatomy and Clinics, 2013, 18(1): 50-53.