Thordarson David B, Latteier Michael
USC Department of Orthopaedic Surgery, Los Angeles, CA 90033, USA.
Foot Ankle Int. 2003 Mar;24(3):217-21. doi: 10.1177/107110070302400303.
Forty-two intra-articular calcaneus fractures underwent open reduction and internal fixation with a low profile, titanium plate with a shape similar to the lateral aspect of the calcaneus. All 42 fractures healed without complication. There were no cases of hardware breakage. None of the patients were noted to have a loss of reduction. The plates were applied without bending and molded to the side of the calcaneus with tightening of the screws. No patient complained of symptomatic hardware during the follow-up period. With postoperative plain radiographs, the reduction was judged as anatomic in 35 patients, less than a 2 mm step off in six patients, and one patient with greater than 2 mm step off. Use of this new plate allows for easy application as it does not require contouring, is well tolerated without complaints of hardware prominence, and none of the hardware broke prior to fracture union.
42例跟骨关节内骨折采用外形与跟骨外侧相似的低轮廓钛板进行切开复位内固定。所有42例骨折均愈合，无并发症。无内固定物断裂病例。所有患者均未出现复位丢失。钛板无需弯曲，通过拧紧螺钉贴合跟骨侧面。随访期间无患者主诉内固定物相关症状。术后X线平片显示，35例患者复位为解剖复位，6例患者台阶小于2mm，1例患者台阶大于2mm。使用这种新型钛板便于操作，因为它无需塑形，耐受性良好，无内固定物突出的主诉，且在骨折愈合前无内固定物断裂。
