Crosby L A, Fitzgibbons T C
Division of Orthopaedic Surgery, Creighton University School of Medicine, Omaha, Nebraska, USA.
Foot Ankle Int. 1996 May;17(5):253-8. doi: 10.1177/107110079601700503.
Open reduction and internal fixation of 23 type II calcaneus fractures in 21 patients was performed using a standard extended lateral approach. Average follow-up was 26 months (range, 12-47 months). The Creighton-Nebraska Health Foundation Assessment Score for Fractures of the Calcaneus was used to evaluate fractures. The average score was 91.4 (range, 80-100), which represented an excellent result. A series of 10 type II fractures treated with closed methods was also evaluated using the same evaluation methods. The average score was 70 (range, 60-84), which represented a fair result. There was a clear statistically significant superiority with type II calcaneus fractures treated with open reduction and internal fixation (P < 0.0001). We recommend type I calcaneus fractures (nondisplaced) be treated with closed methods, and type II calcaneus fractures (displaced) be treated with open reduction and internal fixation.
采用标准的外侧延长入路对21例患者的23例II型跟骨骨折进行切开复位内固定。平均随访26个月（范围12 - 47个月）。使用Creighton - Nebraska健康基金会跟骨骨折评估评分来评估骨折情况。平均评分为91.4（范围80 - 100），代表优良结果。对采用闭合方法治疗的10例II型骨折也使用相同评估方法进行评估。平均评分为70（范围60 - 84），代表尚可结果。切开复位内固定治疗II型跟骨骨折具有明显的统计学显著优势（P < 0.0001）。我们建议I型跟骨骨折（无移位）采用闭合方法治疗，II型跟骨骨折（移位）采用切开复位内固定治疗。
