目的探讨切开复位钢板内固定治疗跟骨骨折的手术疗效。方法 24例(27足)跟骨骨折患者,按Sanders分型,Ⅱ型8足,Ⅲ型19足。均行手术切开复位固定、自体髂骨植骨术。结果本组患者术后随访6～20个月,无骨折延迟愈合或不愈合,按Maryland足部评分系统评价,全组优良率为95%,其中SandersⅡ型优良率为97%,SandersⅢ型优良率为93%。结论手术切开复位固定加植骨是治疗跟骨骨折的有效方法。

Objective To explore the efficiency of the open reduction and internal fixation for the treatment of calcaneal fractures.Methods Twenty four patients of calcaneal fractures on 27 feet(Sanders Ⅱ type:8 feet,Ⅲ type:19 feet) were all done the open reduction and fixation with bone grafting of autogenous iliac.Results The patients were followed up for 6-20 months,mean 13.4 months.There was no delayed union or nonunion,and 95% of the patients(Sanders Ⅱ type:97%,Sanders Ⅲ type:93%) got good results according to Maryland for foot scoring.Conclusion Open reduction and fixation with bone grafting is an effective method for the treatment of calcaneal fractures.