Compression fixation with small incision steel plate and stud bolt for calcaneal fractures / 中华创伤骨科杂志

ABSTRACT

Objective To explore a new surgical procedure of open reduction and internal fixation for intraarticular fractures of calcaneus and its clinic outcome. Methods Between August 2004 and August 2005, 54 feet in 44 patients with calcaneal fracture were treated in our department. Based on the results of X-ray and coronal CT scan before and after treatment, small incision (2-3 cm) at lateral sides of calcaneus, self-made calcaneal anatomical plate and stud bolt were used. According to Sanders classification system, there were 12 cases of type Ⅱ, 32 cases of type Ⅲand 10 cases of type Ⅳ. Results The internal fixation with the calcaneal anatomical plate almost restored the height, length, width, Blher's and Gissane's angles of the calcaneus for the 44 patients. No infection of incision happened. The results were evaluated using Maryland Foot Score. 54 fractures were followed up for 2 to 12 months (averaging 8.3 months) after treatment. Excellent results were noted in 26 fractures,good in 24,fair in 4, and the excellent and good rates were 92.6%. Conclusion The open-reduction and internal fixation with self-made calcaneal anatomical plate and stud bolt is one of the best ways for treatment of fracture of calcaneus.