Kurozumi Taketo, Jinno Yasushi, Sato Toru, Inoue Hajime, Aitani Tetsuro, Okuda Kazuhiro
Department of Orthopedic Surgery, Jinno Hospital, Himeji, Japan.
Foot Ankle Int. 2003 Dec;24(12):942-8. doi: 10.1177/107110070302401214.
Radiographic and computed tomography features of unilateral intra-articular calcaneal fractures after open reduction and internal fixation were compared with late functional outcomes to identify prognostic factors. Sixty-one of 67 patients treated between 1997 and 2002 could walk painlessly postoperatively (average, 19.7 months). Functional results (Laasonen's criteria) were excellent or good in 92.5%. Factors associated with better functional results were lower age (p = .0227), greater Böhler angle at the time of injury (p < .0001), lower Sanders' grade (p = .0497), increased height of fractured regions (p = .0249), better reduction of the posterior facet (p = .0126), and better reduction of the calcaneocuboid joint (p = .0023). Only the latter two were found to be surgical prognostic factors.
将切开复位内固定术后单侧关节内跟骨骨折的影像学和计算机断层扫描特征与晚期功能结果进行比较，以确定预后因素。1997年至2002年间接受治疗的67例患者中，61例术后能无痛行走（平均19.7个月）。功能结果（拉索宁标准）92.5%为优或良。与更好功能结果相关的因素包括年龄较小（p = 0.0227）、受伤时的博勒角较大（p < 0.0001）、桑德斯分级较低（p = 0.0497）、骨折区域高度增加（p = 0.0249）、后关节面复位较好（p = 0.0126）以及跟骰关节复位较好（p = 0.0023）。仅发现后两者为手术预后因素。
