廖承杰 张善勇 华 凯 丁思悦

    [摘要] 目的：总结评价重建钢板治疗跟骨关节内骨折的临床效果。方法：对29例31足跟骨骨折采用切开复位、重建钢板内固定治疗。结果：随访16～48周，平均22周。3例患者术后出现皮缘部分坏死，1例表浅感染，1例切口裂开。术后8～12周X线检查骨折均愈合。按Maryland足部评分标准，优19足，良8足，可3足，差1足，优良率为87%。结论：使用重建钢板治疗SandersⅡ型，Ⅲ型和部分Ⅳ型骨折临床效果满意，对部分Sanders Ⅳ型骨折能够重建跟骨的外形，为二次融合做良好的准备。

    [关键词] 骨折；骨折固定术；跟骨

    [中图分类号] R683.42[文献标识码]C [文章编号]1673-7210(2009)05(b)-048-02

    The analysis of reconstructive plate in the treatment of intraarticular calcaneus fracture

    LIAO Chengjie, ZHANG Shanyong, HUA Kai, DING Siyue

    (Department of Orthopaedics, the People's Hospital of Liaoning Province, Shenyang110016, China)

    [Abstract] Objective: To evaluate the clinical outcomes of reconstructive plate in the treatment of intraarticular calcaneus fracture. Methods: 29 cases with 31 foot underwent the open reduction reconstructive plate inner fixation surgery. Results: All patients were followed for 16-48 weeks, mean 22 weeks. 3 patients part incision skin necrosis, 1 patient superficial infection, 1 patient disruption of wound. After 8-12 weeks, the X-ray showed that all fractures were fusion. According to Maryland evaluation: 19 casesexcellent, 8 cases good, 3 cases fare, 1 cases poor. The rate of excellent and good was 87%.Conclusion: The open reduction reconstructive plate inner fixation surgery is good for SandersⅡ,Ⅲtype and part of Sanders Ⅳ type. To Sanders Ⅳ type fracture, the operation can reconstruct the shape of calcaneus, it is better for the patient who need fusion operation one day. ......