Effect of titanium plate internal fixation in the treatment of comminuted calcaneal fractures

VernacularTitle:可塑性跟骨钛钢板治疗粉碎性跟骨骨折
Author: Youli WU ; Xinhong LIU ; Hongyun HU ; Jiangfa XU ; Dahai ZHANG
Publication Type:Journal Article
Keywords: Calcaneus; Fracture; Comminuted; Fracture fixation,internal
From: Chinese Journal of Primary Medicine and Pharmacy 2012;19(5):705-707
CountryChina
Language:Chinese
Abstract: Objective To evaluate operative methods and the clinical effect for comminuted calcaneal fractures.Methods 21 cases(24 feet)of comminuted calcaneal fractures were treated by one stage bone grafting plus open reduction and internal fixation with plastic calcaneus titanium plate.The fractures were classified according to the Sanders system into Sanders Ⅱ,Ⅲ and Ⅳ subgroups.Results All cases were followed up for 9～20 months(14months in average).All cases recovered with good healing of fracture.According to Maryland score,the results were excellent in 14 feet,good in 7 feet,fair in 2 feet,and poor in 1 foot.The excellent and good rate was 87.5％.Conclusions By using the method of internal fixation with plastic calcaneus titanium plate,fracture site can be well exposed,which is helpful to recover calcaneus to its normal length,width,height,Gissane angle and Bohler angle.A reliable internal fixation is helpful for early stage functional excise after surgery,which can maximize the recovery of the ankle function.