Clinical control study on closed reduction and external fixation versus open reduction and
internal fixation with locking plate for the treatment of Sanders Ⅱ and Ⅲ type calcaneus fractures
XU Xiao-feng, WEI Chang-bao, HUANG Yong-hui
（Department of Orthopaedics, the Affiliated Hospital of Jiangsu University, Zhenjiang Jiangsu 212001， China）
Abstract：Objective: To compare the clinical curative effect and safety of closed reduction and external fixation versus open reduction and internal fixation with locking plate for the treatment of Sanders Ⅱ and Ⅲ type calcaneus fractures. Methods: A total of 52 patients with Sanders Ⅱ and Ⅲ type calcaneus fracture were selected according to the standards. A total of 52 patients,25 cases underwent treatment of locking plate as external fixation at random as the research group,and the others were treated with lateral Lshaped incision for open reduction and internal fixation as the control group.There was no significant difference in gender, age, cause of injury, side of injury between two groups (P>0.05).Evaluating the safety of the surgery by comparing the operating time, intraoperative blood loss, intraoperative Xray exposure time, postoperative complications between two groups.Xray measures the angle of Bohler and Gissane, meanwhile, the condition of fracture clinical healing were recorded. At last followup, the foot function was evaluated with Maryland score system. Results: The operation time, intraoperative blood loss, postoperative complications in research group was significantly less than that in control group (P<0.05). Two groups of intraoperative X-ray exposure duration were no significant difference（P>0.05）. Two groups of postoperative radiological indicators were better than that of the preoperative(P<0.05)， but there were no significantly statistical differences between the two groups(P>0.05). X-ray films indicated that all cases in two groups obtained fracture healing,there was no significant difference in the fracture healing time between two groups(P>0.05).At last follow-up, the Maryland score and good result rate were no statistic significance(P>0.05). Conclusion: Using the locking compression plate as external fixation to treat Sanders Ⅱ and Ⅲ type calcaneus fracture is an effective way when comparing to the traditional lateral L-shaped incision for open reduction and internal fixation, it has the same favorable foot function recovery.Furthermore, it has smaller surgical trauma,shorter operative time, less postoperative complications.As a result, locking compression plate as an external fixation to treat Sanders Ⅱ and Ⅲ type calcaneus fractures were shown to have more advantages.
徐小峰, 魏长宝, 黄永辉. 闭合复位锁定钢板外置和切开复位锁定钢板内置治疗SandersⅡ、Ⅲ型跟骨骨折的临床对照研究[J]. 江苏大学学报:医学版, 2016, 26(03): 240-.
XU Xiao-Feng, Wei-Chang-Bao, Huang-Yong-Hui. Clinical control study on closed reduction and external fixation versus open reduction and
internal fixation with locking plate for the treatment of Sanders Ⅱ and Ⅲ type calcaneus fractures. Journal of Jiangsu University(Medicine Edition), 2016, 26(03): 240-.
2016, Vol. 26 
