Clinical research on anatomical locking plate internal fixation in treating calcaneal fracture
LUO Wei-guo
Abstract：Objective To investigate the clinical efficacy of anatomical locking plate internal fixation( AL-PIF)in the treatment of calcaneal fracture(CF).Methods Totally 86 patients [58 males and 28 females,mean age (38.53 ±4.28)(20-57) years] with CF treated in our hospital from Jan.2013 to Dec.2015 were selected and divided into ALPIF group(n=44) and OSPIF group(n=42) according to the random number table method.ALPIF group was given ALPIF treatment,and ordinary steel plate internal fixation( OSPIF) group was given OSPIF treat-ment.The operation time,postoperative extubation time,postoperative stitches removal time,loading exercise time, fracture healing time and other operation relevant time indicators of the two groups were observed.Besides,the width and height of calcaneus,the Gissane angle,the Bohlers angle and the clinical efficacy of the two groups before opera-tion and at 1 year after operation were observed.Results The differences in operation time,postoperative extuba-tion time,postoperative stitches removal time,postoperative loading exercise time,indicators of the two groups had no statistical significance(P>0.05).The postoperative loaded exercise time and fracture healing time of the ALPIF group were shorter than those of the OSPIF group,and the differences were statistically significant(P<0.05).One year after the operation,the widths of calcaneus of the two groups were smaller than those before operation,while the heights of calcaneus,Gissane angles and Bohlers angles were significantly larger than those before operation,and the differences were statistically significant(P<0.05).One year after operation,the width of calcaneus of the ALPIF group was smaller than that of the OSPIF group,the height of calcaneus,the Gissane angle and Bohlers angle were larger than those of the OSPIF group,and the differences were statistically significant(P<0.05).The excellent and good rate of the ALPIF group ( 90.91%) one year after operation was higher than that of the OSPIF group (73.81%),and the difference was statistically significant(P<0.05).All of the patients were healed by first inten-tion,and no ununion or other postoperative complications was found.Conclusion ALPIF in the treatment of CF has firm fixation,and the excellent and good rate at one year after operation is high.The therapy is worthy of clinical application.
Keywords：calcaneal fractureplateinternal fixation
Publication Date：2016-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 671-674 )