Open reduction and internal fixation with bone grafting to treat calcaneal displaced intra articular fractures
- VernacularTitle:切开复位内固定与植骨术治疗跟骨关节内骨折移位
- Author:
Yanfeng ZHUANG
;
Qi LV
;
Xueming CHEN
;
Wanming WANG
;
Hao XU
;
- Publication Type:Journal Article
- Keywords:
Calcaneal fracture;
Operative treatment;
Fracture fixation,internal;
Bone trensplantation;
Joint shift
- From:
Chinese Journal of Orthopaedic Trauma
2002;0(03):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the classification and treatment of displaced intra articular fractures of the calcaneus. Methods Twelve displaced intra articular fractures of the calcaneus in 8 patients were included in this study. Classification of calcaneus fractures was done according to Sanders' computed tomographic classification system. There were 2 cases of type Ⅱfractures, 4 type Ⅲfractures and 6 type Ⅳfractures. The open reduction and internal fixation (ORIF) and bone grafting were performed using a standard extended lateral approach, and the fractures were fixed with small fragment AO bridge plates with autogenous bone grafting. Average follow up was 28.6 months (range 24 to 33 months). The Creighton Nebraska Health Foundation Assessment Score System for fractures of the calcaneus was used for evaluation. Results The average score was 89.7 for type Ⅱ, 86.5 for type Ⅲ, and 73.5 for type Ⅳfractures. There was statistically significant superiority in treatment by ORIF compared with nonoperative methods (P0.05); whereas in type Ⅳfractures, the differences were significant between with and without bone grafting (P
