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Objective: By comparing open reduction and internal fixed autologous iliac bone graft and simple open reduction and internal fixed calcaneal Sanders III, IV fractures after foot function score the calcaneus BOlher, the calcaneus Gissane angle, calcaneal height, calcaneal width changes, as well as the incidence of complications, two surgical methods for the calcaneus Sanders III, the clinical efficacy of the treatment of type IV fractures there is no difference. Methods: The retrospective analysis of our hospital from January 2007 to April 2009, 47 patients met the study criteria. According to whether bone graft taken from the iliac bone graft group divided into groups A, B, where A group ORIF. Group B ORIF group alone. Two groups of patients were followed up for 13-18 months, the two groups for follow-up patients using SPSS10.0 statistical software processing between groups using t test, count data using the chi-square test, showed that, after statistically between the two groups of patients indicators no significant difference was comparable. Measure and record the two groups of patients after 3 days, 2 months, the calcaneus BOlher 8 months the calcaneus Gissane angle, calcaneal height, calcaneal width changes in the value of postoperative follow-up, followed by the two groups of patients After 3 days, 2 months, 8 months, measured the calcaneus BOlher, the calcaneus Gissane angle, calcaneal height, calcaneal width values ??were statistically analyzed using SPSS10.0 statistical software between the two groups using t test count data using the chi-square test for statistical analysis, and the two groups were compared after Maryland foot function score, and the incidence of postoperative complications, and based on patients function evaluation, imaging evaluation, the incidence of complications related analysis, there is no difference to compare the two surgical methods for the clinical efficacy of the calcaneus Sanders Ⅲ, Ⅳ fractures. Results: ① The postoperative patients Maryland rated using a group t test was no significant difference (P gt; 0.05). ② 3 days after the two groups of patients the calcaneus BOlher angle the calcaneal Gissane angle, calcaneal height, calcaneal width using a group t test (p gt; 0.05) without significant differences. (3) 2 months after the two groups of patients the calcaneus BOlher angle the calcaneal Gissane angle, calcaneal height, calcaneal width comparison group t test (P gt; 0.05) without significant differences. ④ 8 months after surgery, the two groups of patients the calcaneus BOlher angle the calcaneus Gissane angle, calcaneal height, calcaneal width comparison group t test (P gt; 0.05) without significant differences. ⑤ postoperative patients the incidence of complications using the chi-square test (P gt; 0.05) no significant differences. Conclusion: ① ORIF taken from the iliac bone graft calcaneal Sanders III, IV fractures after loading maintain the calcaneus BOlher the calcaneus Gissane angle, calcaneal height, the calcaneal width of simple open reduction and internal fixed There were no significant differences. ② ORIF taken from the iliac bone graft calcaneal Sanders III, IV fractures open reduction and internal fixation group had no significant difference with the simple Maryland score and the incidence of complications. ③ incision reduction and internal fixation of autologous bone grafts, with or without bone graft calcaneal Sanders Ⅲ, Ⅳ type fracture have good clinical efficacy.
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