Curative Effect of Internal Fixation with Plate Cross Calcaneocuboid Joint in the Treatment of Calcaneal Fracture Affected by Calcaneocuboid Joint Injury

HE Zaopeng; LIU Jinwei; LI Wei; ZHOU Congzhen; ZENG Difan; LIU Dongbo

Abstract：Objective To explore the curative effect of open reduction and internal fixation with titanium plate cross calcane-ocuboid joint in the treatment of Sanders type II and III calcaneal fractures with calcaneocuboid joint injury. Methods Admitted into our hospital from June 2009 to April 2014, 40 patients with Sanders type II and III closed calcaneal fractures with unilateral calcane-ocuboid joint injury were selected and randomly divided into control group and experiment group with 20 cases in each group. The con-trol group was treated with open reduction and internal fixation with plate and Kirschner wire uncrossing calcaneocuboid joint, while the other group was given open reduction and internal fixation with titanium plate cross calcaneocuboid joint. The curative effect, postoper-ative life quality and complications of the two groups were compared and analyzed. Results (1) According to Maryland calcaneal e-valuation system, the effect of the experiment group was remarkably better than that of the control group, with statistically significant difference (P<0. 05). (2) According to the comparison of life quality, 9 to 18 months after operation, no significant difference was found in two groups ( P>0. 05 ) . ( 3 ) The observation showed that operation complications in the experiment group were significantly less than the control group, with statistically significant difference (P<0. 05). Conclusion The method of opening reduction and in-ternal fixation with titanium plate cross calcaneocuboid joint has remarkable curative effect on Sanders type II and III calcaneal fractures with calcaneocuboid joint injury, so it is worth promoting.