Clinical Effect of Primary Open Reduction and Internal Fixation in Treatment of Sanders Type IV Calcaneal Fracture

Abstract

Abstract: Objective Toinvestigate the clinical effect of primary open reduction plate internal fixation in the treatment of Sanders type IV calcaneal fracture with bone grafting and without bone grafting. Methods 42 cases of Sanders type IV calcaneal fracture treated from January 2020 to September 2021 were reviewed, all of which underwent open reduction and internal fixation in one stage. They were divided into two groups according to whether bone grafting was performed during the operation, with 21 cases in each group. The control group did not have bone grafting while the study group had bone grafting. Preoperative and postoperative AOFAS scores of Bohler Angle, Gissane Angle, ankle and hind foot. Results There were no significant differences in AOFAS scores of calcaneus Bohler Angle, Gissane Angle and ankle and hind foot between the two groups before and 3 months after surgery. One year after operation, the AOFAS scores of Bohler Angle, Gissane Angle, ankle and hind foot of the experimental group were higher than those of the control group. There was no significant difference in the incidence of complications between the two groups. Conclusion The treatment of Sanders type IV calcaneal fracture with open reduction plate and internal fixation can achieve ideal clinical results.

Key words: Calcaneal fracture, Sanders Typing, Bone graft

CLC Number:

R683

DU Hong-yang, XIE bin, XU Tan-tan, SHEN Tie-hui. Clinical Effect of Primary Open Reduction and Internal Fixation in Treatment of Sanders Type IV Calcaneal Fracture[J]. ZHONGHUA YANGSHENG BAOJIAN, 2024, 42(13): 172-175.

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