Manipulative Reduction And Internal Fixation For The Treatment Of Type Sanders â…¡ Fracture Of Calcaneus Bone Gratfing And Non Clinical Study Of Bone Grafting

Objective:Observation of manual reduction and internal fixation for treatment ofSanders type combined with bone grafting and non clinical curative effect of bone grafting.Methods: Choose Sanders Ⅱ type calcaneal fracture60cases were randomly dividedinto two groups, non-bone graft group and30patients in each group. All patients weretreated with "buckle squeeze" and "percutaneous poking" series of traditional Chinesemedicine orthopedic manipulative reduction of fracture and bone defect measuring thevolume left after fractures, and then using a small incision bone graft group, non-graftgroup does not bone graft. Postoperative regular X-ray examination, measuring fourindicators (the articular surface of the stairs, Bohler angle, Gissane middle calcaneal angleand width); bone defect volume recorded after24weeks of the articular surface level>1mm corresponding to the case; observed48weeks and56weeks of foot functionrecovery and refer suitable for people of Zhang Tieliang scoring criteria for efficacyevaluation; Finally, the data collected by the two groups were statistically analyzed furtherconclusions.Results: Choose Sanders Ⅱ type calcaneal fracture60cases were randomly dividedinto two groups, non-bone graft group and30patients in each group. All patients weretreated with "buckle squeeze" and "percutaneous poking" series of traditional Chinesemedicine orthopedic manipulative reduction of fracture and bone defect measuring thevolume left after fractures, and then using a small incision bone graft group, non-graftgroup does not bone graft. Postoperative regular X-ray examination, measuring fourindicators (the articular surface of the stairs, Bohler angle, Gissane middle calcaneal angleand width); bone defect volume recorded after24weeks of the articular surface level>1mm corresponding to the case; observed48weeks and56weeks of foot function recovery and refer suitable for people of Zhang Tieliang scoring criteria for efficacyevaluation; Finally, the data collected by the two groups were statistically analyzed furtherconclusions.Conclusion:1. The tactics fixation Sanders Ⅱ fracture calcaneal fractures can getgood and reliable reset fixed.2volume of bone defects after fractures without bone graftwhen left≤1.96cm3, while the volume> of graft when1.96cm3can improve clinicaloutcomes. Therefore, the use of techniques fixation Sanders type Ⅱ fracture, surgery basedon the size of the bone defect selective bone volume, can effectively prevent fractures lateshift again, and can reduce surgical trauma, shorter operative time, reduce treatment costs.