Analysis of the clinical results and complications after operative fixation for displaced intraarticular calcaneal fractures
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    Abstract:

    Objective:To analyze and summarize the clinical results and complications after operative fixation for displaced intraarticular calcaneal fractures. Methods:From March 2005 to May 2008,41 cases of calcaneal fractures in 36 patients were treated with open reduction and anatomic plate fixation,most of them were supplemented with bioglass,and 5 with bilateral fractures. There were 32 men and 4 women,with a mean age of 36.5 years(range 20~59 years). Sixteen of the fractures were on the left side and 25 were on the right. All the fractures were closed. According to Sanders classification,16 cases were type Ⅱ,21 for type Ⅲ,and 4 for type Ⅳ. Results:All the patients were followed up with an average 16 months(ranged from 8 to 36 months). The clinical results were evaluated according to Maryland Foot Score,and excellent results were achieved in 20 cases,good for 15,average for 4,and poor for 2. The excellent and good rate was 85.4%. Early complications were found in 3 cases of wound necrosis. Late complications were found in 2 cases of subtalar arthritis. Conclusion:Open reduction and internal fixation for displaced intra-articular calcaneal fractures is a good method. The wound complications can be minimized by following measurements:to take care of soft tissue of incision in pre-,intra-and postoperation period;to choose optimal time for operation and finished the operation by the experienced surgeon.

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张继刚,李雪峰,刘传道,杨卫新.切开复位内固定治疗跟骨关节内骨折疗效与并发症分析[J].南京医科大学学报(自然科学版英文版),2010,(7):1013-1016.

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  • Received:January 07,2010
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