Alami Badr El, Naam Aimane, Admi Mohamed, Rabhi Ilyas, Elbardai Mohamed, Boutayeb Fawzi
Service de Traumato-Orthopédie A, CHU Hassan II Fès, Maroc.
Pan Afr Med J. 2017 Mar 13;26:137. doi: 10.11604/pamj.2017.26.137.11462. eCollection 2017.
Calcaneal fractures are infrequent but, more often, serious. We report a series of 29 cases of calcaneal fractures surgically treated in the Orthopaedics and Traumatology in the University Hospital (CHU) Hassan II of Fez. This retrospective study aims to present the principles and to evaluate the results of surgical treatment for articular fractures of the calcaneus, in comparison with conservative treatment. Our study included 21 men and 8 women, the average age was 21-61 years. Etiology was dominated by road traffic accidents as wel as by falls from a high place. The evaluation of the lesions was based on the classification of Duparc. The treatment was based on open reduction associated with Y-plate osteosynthesis or one-third tubular plate osteosynthesis using triangulation. Clinical results were evaluated on the basis of kitaoka score, with an average follow-up period of 24 months. 86% of patients have had good medium-term results.
跟骨骨折并不常见，但通常较为严重。我们报告了在非斯哈桑二世大学医院（CHU）骨科手术治疗的一系列29例跟骨骨折病例。这项回顾性研究旨在阐述手术治疗跟骨关节内骨折的原则，并与保守治疗相比较评估其结果。我们的研究纳入了21名男性和8名女性，平均年龄为21至61岁。病因以道路交通事故以及高处坠落为主。病变评估基于迪帕克分类法。治疗采用切开复位联合Y型钢板接骨术或使用三角定位法的三分之一管状钢板接骨术。临床结果根据木冈评分进行评估，平均随访期为24个月。86%的患者取得了良好的中期结果。
