Abstract：Objective: To investigate the influence of open reduction and internal fixation on Sanders type calcaneal fracture and the grading of Maryland foot. Methods: 80 patients with Sanders type IV calcaneal from January 2016 -2016 year in December in our hospital were fracture, were randomly divided into two groups, the control group using poking reduction and internal fixation, the study group were treated with open reduction and internal fixation, compared two groups of patients the results and the effect on the Maryland foot score. Results: Before treatment, there was no significant difference in the Gissane angle and Bohler angle between the two groups (P>0.05), which was improved after treatment, and the study group was significantly better than the control group (P<0.05). Before treatment, there was no significant difference in the width of root bone and the height of root bone between the two groups (P>0.05), which was improved after treatment, and the study group was significantly better than the control group (P<0.05). In the comparison of the Maryland foot score of the two groups of patients, the good rate of Maryland score in the study group was significantly higher than that of the control group (P<0.05). Conclusion: Open reduction and internal fixation for Sanders type IV calcaneal fractures are helpful to improve Gissane angle, Bohler angle, root width and root height. Meanwhile, the Maryland foot score is higher.
杜国军, 刘异. 开放复位内固定治疗SandersⅣ型跟骨骨折的疗效[J]. 河北医学, 2018, 24(3): 459-463.
DU Guojun, LIU Yi. Effect of Open Reduction and Internal Fixation in the Treatment of Sanders Type IV Calcaneal Fracture. HeBei Med, 2018, 24(3): 459-463.
[1] 肖笠,徐静,蔡金宏,等.三种手术方式治疗SandersⅢ~Ⅳ型跟骨骨折的疗效对比研究[J].临床和实验医学杂志,2016,15(2):143~146. [2] 彭雄,邱波.跟骨外侧U形切口结合解剖钢板内固定治疗SandersⅢ、Ⅳ型跟骨骨折疗效探讨[J].生物骨科材料与临床研究,2016,13(4):25~27. [3] Yeo J, Cho H, Lee K. Comparison of two surgical approaches for displaced intra-articular calcaneal fractures: sinus tarsi versus extensile lateral approach.[J]. Bmc Musculoskeletal Disorders, 2015, 16(1):1~7. [4] 林鋆,刘大林,陈韶峰,等.锁定板结合骨修复材料植骨治疗SandersⅢ、Ⅳ型跟骨骨折[J].临床骨科杂志,2016,19(1):98~100. [5] 马兴燕,于波.马黄酊预防SandersⅢ~Ⅳ型跟骨骨折术后切口并发症125足[J].中国中西医结合外科杂志,2016,22(2):132~134. [6] Gamal O, Shams A, Elsayed S A. A protocol for percutaneous transarticular fixation of sanders type II and III calcaneal fractures with or without an added mini-open approach[J]. Journal of Foot & Ankle Surgery, 2016, 55(6):1202~1209. [7] 许同龙,顾文奇,李坛珠,等.跟骨万向锁定板治疗SandersⅣ型跟骨关节内骨折[J].中华骨科杂志,2016,36(21):1341~1347. [8] 游景扬,郑勇,陈园,等.SandersⅢ、Ⅳ型跟骨骨折手术疗效的回顾性分析[J].生物骨科材料与临床研究,2015,12(5):44~46. [9] Zhang Q S, Zhang S H, University S M. Comparison and analysis of two surgical methods in treatment of sanders Ⅱ、Ⅲ type calcaneal fracture[J]. Journal of Clinical Microbiology, 2015, 53(4):462~470. [10] 高峰,李翔,方永祥,等.普通解剖钢板加植骨与锁定钢板治疗SandersⅡ、Ⅲ型跟骨骨折的疗效比较[J].中华创伤骨科杂志,2015,17(9):791~795. [11] 王强茂,何健飞,王建云.Sanders分型结合下肢力线矫正原理手术治疗跟骨骨折[J].中国骨与关节损伤杂志,2016,31(10):1108~1109. [12] 吴根发,陈超,王志峰,等.微创内固定技术治疗SandersⅡ、Ⅲ型跟骨骨折的疗效分析[J].中国骨与关节损伤杂志,2016,31(6):666~667. [13] Hoeve S V, Poeze M. Outcome of minimally invasive open and percutaneous techniques for repair of calcaneal fractures: a systematic review[J]. Journal of Foot & Ankle Surgery, 2016, 55(6):1256~1263. [14] 陈歌海,郑建河,江钦文,等.切开复位内固定治疗SandersI~Ⅲ型陈旧性跟骨骨折的临床疗效分析[J].中国骨与关节损伤杂志,2015,30(6):663~665.
2018, Vol. 24 
冀公网安备13080202000677号