analysis of surgical treatment of intra-articular calcaneal fractures in（跟骨关节内骨折外科治疗分析）.docVIP

Analysis of surgical treatment of intra-articular calcaneal fractures in Paper to write network: [Abstract] Objective To investigate the surgical treatment of intra-articular calcaneal fracture analysis method of surgical treatment of calcaneal fractures in 36 cases of 40 feet, including 30 males and 34 feet, 6 feet 6 females, average age 38 years. Spinal or hard epidural anesthesia conventional first calcaneal fracture reduction, L-shaped lateral calcaneal incision to take. cut the skin, subcutaneous tissue to the calcaneus. with three Kirschner wire fixation and talus from the skin edge, the edge off the skin to avoid excessive pulling the skin with a small periosteal stripping poking from the fracture gap, reduction of fractures of the block and the collapse of the articular surface, with 3-4mm round pin bones from the back edge of the talus into the calcaneus posterior articular surface, poking the subtalar joint surface , Bayesian restoration of calcaneal height and angle and length, with a Y-shaped plate, screws, place suction drainage layer suture wounds, plaster immobilization, limb elevation, antibiotics for 7 days. Results Follow-up 6-48 months, an average of 15 days, the fracture healed, the healing time of a minimum of 3 months and up to six months, according to Maryland score, an excellent rate of 83.1% early postoperative complications: skin flap necrosis in 3 cases, by dressing after and topical application of myogenic long healing skin cream; infection in 1 case, after 2 months after the plate and screws removed after the infection control and wound healing. Late complications occurred in 5 cases, both subtalar arthritis, 2 cases went through the anti-inflammatory pain less pain after the event, two cases of pain relief after treatment, 1 patient after 2 years from the joint line convergence. Conclusion spread away from the articular surface of the fracture with or without collapse of the shift of certain surgical treatment of calcaneal fractures.