Sanders Ⅳ calcaneal fracture surgical treatment of randomized controlled clinical trial.docVIP

 PAGE \* MERGEFORMAT 18 Sanders Ⅳ calcaneal fracture surgical treatment of randomized controlled clinical trial Author: Lu Qifeng Tang Gen-Lin Gu Guo Shuguang Zhu Wei Xu Sun Alliance 【Abstract】 Objective To understand the subtalar arthrodesis in the treatment of calcaneal fractures Sanders Ⅳ effect. Methods 51 cases of calcaneal fractures in patients with Sanders Ⅳ A randomized controlled study. Results in a period of 36 months follow-up, internal fixation + subtalar joint fusion surgery group had no significant fluctuation function score (P = “0.05); in the late follow-up (36 months) within a fixed + subtalar joint fusion surgery group function score was significantly higher than the internal fixation group, there was significant difference (P value = 0.033). Conclusion Sanders Ⅳ type calcaneal fractures with open reduction and internal fixation at the same time the next line spacing arthrodesis treatment, surgical results good and stable. 【Key Words】 calcaneal fractures randomized controlled clinical trial Sanders Ⅳ type subtalar arthrodesis fixation Calcaneal fractures are the most common fracture of the foot, or about 2% of the human body fractures. Intra-articular calcaneal fractures effective than conservative treatment has gradually been recognized clinical. But Sanders Ⅳ calcaneal fracture surgical treatment of specific programs, the academic community have not been reunified, especially for the line with open reduction and internal fixation, and whether it should be used in stage Ⅰ subtalar joint fusion, has been in dispute. Authors from January 2001 to December 2004 A randomized controlled study to evaluate subtalar arthrodesis in the treatment of calcaneal fractures Sanders Ⅳ effect, so as to Sanders Ⅳ fracture of the right treatment options to provide clinical basis. A clinical data 1.1 General Information of this group of 63 cases in 58 males and 5 females; aged 19 to 58 years, with an average 35.46 years of