Clinical curative effect of the exceed-calcaneocuboid-joint plate fixation in the treatment of Sanders III/IV calcaneal fracture / 中国基层医药

ABSTRACT

Objective To investigate the clinical curative effect of the exceed -calcaneocuboid -joint plate in the treatment of Sanders Ⅲ/Ⅳ calcaneal fracture .Methods 58 cases ( 67 feet ) with Sanders Ⅲ/Ⅳ calcaneal fractures were selected .The patients were followed up for 1 year postoperation .The patients′age,fracture classification , Maryland foot score,complications,and postoperative 1 day,postoperative 1 year B?hler corner,Gissane angle,height, and length of the calcaneus were recorded .Results The preoperative B?hler corner,Gissane angle,height and length of calcaneus were (7.9 ±4.2)°,(85.2 ±6.9)°,(30.6 ±2.6) mm,(65.5 ±2.1) mm,respectively,which of postoperative 1 day were (31.8 ±4.7)°,(128.6 ±8.1)°,(43.7 ±2.3)mm,(70.3 ±2.6)mm,respectively,which of postoperative 1 year were (31.9 ±4.8)°,(128.7 ±7.7)°,(43.5 ±2.1) mm,(70.2 ±2.8) mm,respectively. Compared with preoperation ,the postoperative data were significantly improved , and the differences were statistically significant(postoperative 1 day compared with preoperationt=7.13,3.59,4.14,6.95,postoperative 1 year compared with preoperationt=8.76,3.92,5.02,7.17,all P<0.05).The excellent rate in exceed -calcaneocuboid -joint plate group was 91.04％.Conclusion Using exceed-calcaneocuboid-joint plate internal fixation for Sanders Ⅲ/Ⅳ calcaneal fractures , can significantly improve the prognosis of patients and better restore height and length of the calcaneus ,it is worthy of clinical application .