Top pull poking closed reduction cannulated screw fixation combined with small incision bone augmentation therapy Sanders Ⅱ-Ⅳcalcaneal fracture clinical observation
Objective To evaluate the top pull poking cannulated screw fixation combined with small incision bone augmentation therapy Sanders Ⅱ-Ⅳ calcaneal fractures.Method C-arm machine with closed reduction and fixation ,plus a small incision implantation of autologous cancellous bone ,cannulated screw fixation of dis-placed intra-articular calcaneal fracture 62 cases,of which SandersⅡtype 48 cases(ⅡA type 25 cases,ⅡB Type 20 cases,ⅡC type 3 cases ) ,SandersⅢ8 cases, Sanders Ⅳ type in 6 cases.Results 62 patients with no postoperative superficial skin flap necrosis,immune rejection,infection and other complications,56 cases after 3-24 months(mean 8 months)follow-up,all patients were healed,Maryland Foot Grading:excellent in 40 cases,good in 14 cases,2 cases.Excellent rate of 96.42%. Conclusion Top pull poking closed reduction cannulated screw fixation combined with small incision bone augmentation therapy is a more practical clinical treatment . Minimally invasive treatment to achieve the purpose .Can effectively restore the anatomy of the articular surface of the calcaneus .Restore full function better and stable fixation,minimal complications.
Top pull poking closed reductionSmall incision bone fillingCalcaneal fractures
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