Gülabi Deniz, Sarı Ferdi, Sen Cengiz, Avcı Cem Coşkun, Sağlam Fevzi, Erdem Mehmet, Bulut Güven
Department of Orthopaedic and Traumatology, Dr. Lütfi Kırdar Kartal Training and Research Hospital, İstanbul, Turkey.
Ulus Travma Acil Cerrahi Derg. 2013 Mar;19(2):145-51. doi: 10.5505/tjtes.2013.75301.
The radiological and functional results of surgical treatment in intraarticular calcaneal fractures are presented in this study.
27 feet of 26 patients with displaced intraarticular fractures were treated surgically in our clinic between November 2003 and May 2009. Twenty-one patients were male (81%), and 5 were female (19%). The average age was 29.2 (range, 18-61 years) at the time of the surgical treatment. Open reduction internal fixation was performed by using a calcaneal plate.
The results were evaluated according to the Maryland foot scores and Creighton-Nebraska scores. The mean follow-up period was 34.4 months (range, 19-85 months). The radiological evaluation was made according to the mean value changes of Böhler and Gissane angles after injury and at the last follow-up. Except for 3 patients with Sanders type 4 fractures, good results were obtained with surgical treatment.
We conclude that open reduction and internal fixation methods yield a reasonable outcome, even in patients with Sanders type 4 intraarticular fractures of the calcaneus.
本研究展示了跟骨关节内骨折手术治疗的放射学和功能结果。
2003年11月至2009年5月期间，我们诊所对26例移位性跟骨关节内骨折患者的27只足进行了手术治疗。21例为男性（81%），5例为女性（19%）。手术治疗时的平均年龄为29.2岁（范围18 - 61岁）。采用跟骨钢板进行切开复位内固定。
根据马里兰足部评分和克里顿 - 内布拉斯加评分对结果进行评估。平均随访期为34.4个月（范围19 - 85个月）。放射学评估依据受伤时和最后随访时Böhler角和Gissane角的平均值变化进行。除3例Sanders 4型骨折患者外，手术治疗取得了良好效果。
我们得出结论，即使是跟骨Sanders 4型关节内骨折患者，切开复位内固定方法也能产生合理的结果。
