CAJ | 학술논문

目的：评价锁定钢板内固定治疗跟骨关节内骨折的疗效。方法自2009年6月-2013年6月共收治33例33足跟骨闭合性关节内骨折，右足18例，左足15例。高处坠落伤27例，车祸伤6例。均为闭合性骨折。根据Sanders分型：Ⅱ型14足，Ⅲ型16足，Ⅳ型3足。均行跟骨外侧入路应用锁定钢板内固定手术治疗，术后不用石膏固定，早期功能练习。采用美国足踝外科协会（ AOFAS）踝与后足功能评分评价足踝功能。结果随访时间6～15个月，平均9个月。骨折愈合时间10～14周，平均11．5周；2例出现切口裂开，经治疗后好转。末次随访时AOFAS踝与后足评分系统评价踝关节功能：优17足，良13足，可3足，优良率为90．9％（30/33）。结论锁定钢板治疗跟骨骨折有利于骨折早期愈合和功能练习，软组织并发症发生率较低。
목적：평개쇄정강판내고정치료근골관절내골절적료효。방법자2009년6월-2013년6월공수치33례33족근골폐합성관절내골절，우족18례，좌족15례。고처추락상27례，차화상6례。균위폐합성골절。근거Sanders분형：Ⅱ형14족，Ⅲ형16족，Ⅳ형3족。균행근골외측입로응용쇄정강판내고정수술치료，술후불용석고고정，조기공능연습。채용미국족과외과협회（ AOFAS）과여후족공능평분평개족과공능。결과수방시간6～15개월，평균9개월。골절유합시간10～14주，평균11．5주；2례출현절구렬개，경치료후호전。말차수방시AOFAS과여후족평분계통평개과관절공능：우17족，량13족，가3족，우량솔위90．9％（30/33）。결론쇄정강판치료근골골절유리우골절조기유합화공능연습，연조직병발증발생솔교저。
Objective To evaluate the clinical outcome of calcaneal locking plates for treatment of severely displaced in -tra-articular calcaneal fractures.Methods From June 2009 to June 2013,33 patients (23 males and 10 females)with severely displaced intra-articular calcaneal fractures were treated by open reduction and internal fixation using locking plates .The left side was involved in 15 cases,and the right side in 18 cases.According to Sanders classification ,14 cases belonged to type Ⅱ, 16 cases to type Ⅲ,and 3 to typeⅣ.The results were validated using the American Orthopaedic Foot and Ankle Society ( AO-FAS) ankle-hindfoot scale.Results Altogether the 33 patients got a mean follow-up of 9(6 to 15) months.All fractures healed in a mean time of 11.5(10 to 14) weeks.Incision dehiscence occurred in two cases ,but healed after treatment .Accord-ing to AOFAS Foot Score standard ,the effects of 17 cases were excellent ,13 were good,and 3 were fair.The excellent and good rate was 90.9 %(30 /33).Conclusion The application of locking plate is an effective treatment for calcaneal fractures , which is beneficial for healing and functional exercise ,and the rate of soft tissue complication after operation is low .