【摘要】 [目的]探讨地震伤员跟骨骨折的特点及切开复位内固定治疗临床效果。[方法]骨折采用Sanders分型,15例24侧采用切开复位内固定治疗,有13例21侧获得4～4.5个月随访,平均随访时间4.2个月。[结果]所有骨折均愈合。按Maryland足部评分系统评价,本组优9侧(42.9%),良10侧(47.6%),可2侧(9.5%),优良率90.5%。伤口感染2侧经皮瓣转移后治愈。[结论]切开复位内固定是治疗跟骨关节内移位骨折的有效方法。地震伤员不宜过早手术,应待病人身体各项指标基本正常、心理情况稳定后手术。更多还原

【Abstract】 [Objective]To investigate the characteristics and clinical results of open reduction and internal fixation for fractures of the calcaneus for earthquake patients.[Method]The fractures were classified according to Sanders classification.Fifteen cases(24 fractures) were treated by open reduction and internal fixation.Thirteen cases(21 fractures) were followed up from four,four and half months(average of 4.2 months).[Result]All fractures had been healed.Functional results were evaluated using Marryland Foot Score and excellent results occured in 9(42.9%),good in 10(47.6%),fair in 2(9.5%) and the satisfactory rate was 90.5%.Two cases of incision infection were cured by skin flap transplantation.[Conclusion]Open reduction and internal fixation is an effective method for treatment of displaced intra-articular fractures of the calcaneus.Earthquake patients are not fit for early operation.They should be treated with operation after normal functional index and stable psychological situation.更多还原