Limited internal fixation in the treatment of open calcaneal fracture

YU Bing-tian; ZHENG Ji-nan; LI Da; KE Qing-hui

Abstract：Objective To evaluate the application of limited internal fixation( Kirschner,hollow nail) and its effect in the treatment of Gustilo typeⅠ-Ⅲopen fracture.Methods Seventeen cases(15 males and 2 females aged from 23-64 years with an average age of 43.5 years) of Gustilo typeⅠ-Ⅲopen fractures were treated with limit-ed internal fixation.The healing status,B?hler’ s angle before and after the treatment,the angle of Gissane were ob-served.Results All patients were healed, among them 4 cases suffered soft tissue defects and healed after skin flap.All patients were followed up for 6-12 months,average 10 months.All fractures healed without loss of reduc-tion.According to Maryland foot score,11 cases were excellent,4 cases were good and 1 case was poor;the excel-lent and good rate was 88.2%.B?hler’ s angle of patients and the angle of Gissane improved significantly after treatment (P<0.05).Conclusion Limited internal fixation has advantages in the treatment of open wound and greatly reduces the probability of infection or necrosis of the skin.It is a simple and effective method in the treat-ment of Gustilo type I-Ⅲopen fracture.