Xiong H.,Foshan Gaoming District Peoples Hospital |
Liu W.,Foshan Gaoming District Peoples Hospital |
Lin W.-W.,Foshan Gaoming District Peoples Hospital |
Xia X.-C.,Foshan Gaoming District Peoples Hospital |
And 5 more authors.
Chinese Journal of Tissue Engineering Research | Year: 2013
Background: Although, implant fixation is effective for many patients with calcaneal fractures, there is no consensus on the classification and treatment of calcaneal fractures as well as the choice of implants internal fixation. Objective: To compare the effect of poking reduction and open reduction internal fixation for the treatment of Sanders II calcaneal fractures. Methods: The clinical data of the 56 patients with Sanders II calcaneal fractures who treated in the Second Department of Orthopedics, Foshan Gaoming District People's Hospital from May 2010 to October 2012 were retrospectively analyzed. The age of the patients was 15-61 years. There were 27 cases treated with poking reduction fixation, and 29 cases were treated with open reduction internal fixation. Results and Conclusion: All the patients were followed-up for 12-24 months, average 16.5 months. The postoperative X-ray film showed talar articular surface of calcaneus was recovered to normal basically. In the poking reduction fixation group, the Bohler angle was recovered from preoperative (17.88±2.06)° to postoperative (30.60±2.89)° in the open reduction internal fixation group, the Bohler angle was recovered from preoperative (17.55±2.46)° to postoperative (31.69±2.29)°, and there was no significant difference in Bohler angle between two groups (P > 0.05). Evaluation of the postoperative function according to the Maryland foot score showed that in the poking reduction fixation group, there were 14 cases of excellent, six cases of good, five cases of average and two cases of poor, the excellent and good rate was 74.0% in the open reduction internal fixation group, there were 11 cases of excellent, 13 cases of good, four cases of average and one case of poor, the excellent and good rate was 82.7%. There was no significant difference in the excellent and good rate between two groups (P > 0.05). Both poking reduction fixation and open reduction internal fixation are effective for the treatment of calcaneal fractures.