Darder Prats A D, Silvestre Muñoz A, Segura Llopis F, Baixauli Perelló E, Darder García A
Department of Orthopedics, Hospital Clínico, University of Valencia, Spain.
Acta Orthop Scand. 1993 Apr;64(2):161-4. doi: 10.3109/17453679308994560.
20 displaced intraarticular fractures of the calcaneus were treated by open reduction and internal fixation. Results were evaluated according to a standardized protocol. With an average follow-up of 5 (2-8) years, results were excellent or good in 15 cases and fair or poor in 5 cases. An accurate radiographic study and CT scanning are essential for understanding these fractures. We feel that restoring calcaneal shape as anatomic as possible, getting an appropriate reduction of the posterior joint surface by a surgical procedure with early mobilization, and delayed weight bearing would be a good option in treatment of these fractures.
20例跟骨关节内移位骨折采用切开复位内固定治疗。根据标准化方案评估结果。平均随访5（2 - 8）年，15例结果为优或良，5例为可或差。准确的影像学检查和CT扫描对于理解这些骨折至关重要。我们认为尽可能解剖复位跟骨形状，通过手术适当复位后关节面并早期活动，以及延迟负重是治疗这些骨折的一个良好选择。
