Zhang Lu, Zhao Wen-Zhi, Fang Xu, He Sheng-Wei, Mi Li-Dong, Du Guang-Yu, Sun Chuan-Xiu, Sun Xue-Gang
Department of Orthopaedics, the Second Affiliated Hospital of Dalian Medical University, Dalian 116023, Liaoning, China.
Zhongguo Gu Shang. 2011 Apr;24(4):305-7.
To analyze locking plates with bone graft fusion in treating displaced intraarticular calcaneal fractures and determine whether it is beneficial in maintaining restoration of calcaneal height and anatomic reduction of the articular surface.
From January 2007 to January 2008, 22 patients with displaced intraarticular calcaneal fractures were treated with locking plates with and without bone graft (divided into the bone graft group and non-bone graft group). There were 17 males and 5 females, ranging in age from 18 to 59 years with the mean of 35 years. Sanders III was in 14 cases and Sanders IV in 8 cases. Autologous iliac bone filled defects with locking plates fixation for the bone graft group; just locking plates fixation were performed for non-bone graft group. The Böhler angle and Gissane angle were measured before and after operation. The foot function of two groups were compared according to Maryland standard at the 6th month, 1, 2 years after operation.
All patients were followed up with an average of 25 months. There was no significant difference in the recovery of Böhler angle and Gissane angle between two groups (P > 0.05). After the 6 months,1, 2 years, there was no significant difference in the foot function between two groups (P > 0.05), in bone graft group, excellent result was in 6, 7 ,7 cases respectively; and in non-bone graft group, excellent results in 5, 6, 7 cases respectively.
Bone graft in the surgical treatment of calcaneal fractures is not an advantage.
分析锁定钢板联合植骨融合术治疗移位性跟骨关节内骨折的效果，并确定其是否有助于维持跟骨高度的恢复及关节面的解剖复位。
2007年1月至2008年1月，22例移位性跟骨关节内骨折患者接受了锁定钢板治疗，其中部分患者联合植骨（分为植骨组和非植骨组）。男性17例，女性5例，年龄18至59岁，平均35岁。Sanders III型14例，Sanders IV型8例。植骨组采用自体髂骨填充骨缺损并使用锁定钢板固定；非植骨组仅行锁定钢板固定。分别于术前、术后测量Böhler角和Gissane角。根据Maryland标准，在术后6个月、1年、2年比较两组患者的足部功能。
所有患者均获随访，平均随访25个月。两组间Böhler角和Gissane角的恢复情况差异无统计学意义（P>0.05）。术后6个月、1年、2年，两组足部功能差异无统计学意义（P>0.05），植骨组优分别为6例、7例、7例；非植骨组优分别为5例、6例、7例。
跟骨骨折手术治疗中植骨并无优势。
