Treatment Of Calcis Fracture With Percutaneous Reduction By Leverage And External Fixators

Objective:To retrospectively analyze therapeutic effect of percutaneous reduction by leverage and external fixators in the treatment of calcis fracture.Methods:A total of 35 patients (36 feet) with calcaneal fractures were treated by percutaneous reduction by leverage and external fixators since June 2006 to September 2008. Injuries were classified according to the Sanders system. There were 7 type I cases (7 feet), 19 type II cases (20 feet) and 9 type III cases (9 feet). Among them, 5 cases (5 feet) were combined with soft tissue avulsion. All patients were followed-up for 10 to 25 months and the average follow-up was 18 months.Results:Evaluated by the Maryland foot score standards, 13 fractures were excellent, 17 were good and 6 were fair. The excellent and good rate was 83.3%.Discussion:The curative effect of percutaneous reduction by leverage and external fixation to calcaneal fractures was satisfactory. Several advantages such as small surgical trauma, less complications, without destroying the fracture blood supply and little influence on fracture healing were observed. And it also benefited multiple surgical operations for the patients with soft tissue injuries. Conclusion::1. The curative effect of percutaneous reduction by leverage and external fixation to calcaneal fractures was satisfactory and the operation was simple. It also has several advantages such as small surgical trauma, less complications, without destroying the fracture blood supply and little influence on fracture healing.2. Percutaneous reduction by leverage and external fixation to calcaneal fractures, especially open fractures, can shorten the hospitalization time of patients, and also can facilitate the treatment of soft tissue.3. Although the recent curative effect of percutaneous reduction by leverage and external fixation to calcaneal fractures was satisfactory, but the long-term effect needed further observation.4. If use of subtalar arthroscopy articular surface reduction, combined with the advantages of percutaneous reduction by leverage and external fixation will reduce the incidence of complications after calcaneal fracture and at the same time increase the efficiency.