Minimally invasive treatment of 32 cases of intra-articular calcaneal fractures.doc

 PAGE \* MERGEFORMAT 9 Minimally invasive treatment of 32 cases of intra-articular calcaneal fractures Of: Xie Wei, Wang Jingyan, Feng Yunhua, Ren Zhifu [Abstract] Objective poking reduction, the transverse screw fixation combined with self-developed in our hospital for treatment of the anti-pull reset articular calcaneal fracture patients. Methods affected subtalar joint surface fractures, reset by poking small incision and anti-pull screw fixation for treatment of 32 patients with reduction of 37 feet. The results of 32 cases of 37 feet were followed up for 6 to 22 months. incisions healed without infection and skin flap necrosis and nonunion occurred excellent in 15 feet, good in 18 feet, 3 feet, 1 foot difference. Conclusion rampant nail poking reduction and anti-pull reset for treatment of intraarticular calcaneal fractures has a good effect, is worthy of clinical application. [Keywords:] articular calcaneal fractures, minimally invasive, transverse nail, anti-pull reset the device Fractures are the most common foot fractures, fractures accounted for 2% of the body, accounting for 60% of tarsal bone fractures, and intra-articular calcaneal fractures accounted for 75% of calcaneal fractures [1]. The treatment is difficult, yet satisfactory method of treatment. We from April 2003 to June 2007 on the affected side of the subtalar joint fracture, after reduction by poking a small incision screw in the treatment and anti-pull reset method, used in clinical 32 cases of 37 feet, the initial get satisfactory results. 1 Clinical data 32 patients, 31 males and 1 female, aged 20 to 58 years, mean 34 years old. Unilateral foot in 27 cases, 5 cases of bilateral feet. Which fall injury in 28 cases, 1 case of accident injury, crush injury 3 cases. All patients were taken before the feet of lateral X-ray films and axial and horizontal position on the affected foot CT films. preoperative measurement Bhler angle -8 ~ 16 , an average of 6 , calcaneal wid