On the heel plate in the treatment of calcaneal fractures experience.docVIP

 PAGE \* MERGEFORMAT 6 On the heel plate in the treatment of calcaneal fractures experience [Paper Keywords] calcaneal plate, fractures, fracture fixation [Abstract] Objective: To investigate the intra-articular calcaneal fracture fixation and surgical treatment. Methods: Follow-up in January 2003 - March 2007, the use of open reduction and internal fixation, if necessary, bone graft Sanders Ⅱ ~ Ⅳ type calcaneal fractures, 30 cases of 43 feet. Intraoperative lateral X-ray observation of B? Hua hler angle and Gissane angle, B? Hua rden bit of perspective, after observing the recovery of the articular surface, all patients were followed up for 12 to 24 month, an average of 17 months. Results: Maryland foot score criteria to evaluate the effect of surgery, excellent in 25 feet, good in 12 feet, 6 feet. good rate of 86% Conclusion: Open reduction and plate fixation of comminuted calcaneal fractures, can be more satisfactory anatomical reduction and reliable fixation is an effective method of treatment of calcaneal fractures. Calcaneal fracture is a very common fracture, fracture of the body about 2%, accounting for 60% of tarsal bone fractures, and intra-articular calcaneal fractures account for 75% of calcaneal fractures .2003 January ~ March 2007 months, our department with calcaneal plate 30 cases of calcaneal fractures 43 feet, results were satisfactory. 1 Materials and Methods 1.1 General Information The group of 30 patients, 17 males and 13 females, aged 18 to 48 years old. Calcaneus lateral axis X-ray showed: calcaneal body widened, spread from the joint surface fractures. According to Sanders classification [1]: 15 foot type Ⅱ, Ⅲ in 22 feet, Ⅳ type 6 feet. injury and surgery 6 h ~ 7 d. 1.2 Treatment Take the side lying position, the lateral L-shaped incision, starting at 4 cm on the tip of the fibula to reach the fifth metatarsal base. Incision of the skin, directly to the periosteum with a knife in the subperiosteal dissection