title: [Bone setting manipulation combined with surgery for the treatment of calcaneal fractures].
abstract: OBJECTIVE
  To investigate the clinical effects of bone setting manipulation on simplified operation and swelling reduction in treating calcaneal fractures.
  
  
  METHODS
  From December 2005 to November 2010, 42 patients with calcaneal were reviewed, including 25 males and 17 females, ranging in age from 18 to 74 years, with an average of 41.4 years. Twenty patients had fractures in the left and 22 in the right. Twenty-three patients were treated with anatomical plate fixation, 19 patients were treated with Kirchners wires or cannulated screws fixation. The average period of swelling in soft tissue, joint function and complications were evaluated.
  
  
  RESULTS
  Forty-two patients were followed up, and the duration ranged from 3 to 18 months, with a mean of 8.3 months. The pain was markedly relieved at the next day after reduction, and the swelling was relieved in 3 to 5 days. The operative was simplified and the average operative time was 90 minutes. The swelling was relieved in 4 to 7 days after the operation, and the necrosis of skin was not found. The average postoperatively Böhler angle was (31 +/- 3.2) degrees. Gissane angle was (112 +/- 5.3) degrees. Calcaneal width was (30.2 +/- 0.89) mm. According to Maryland foot function score system, 16 patients got an excellent result, 18 good, 6 fair and 2 bad.
  
  
  CONCLUSIONS
  The operation is simplified, and skin complications decrease, as well as the detumescence period is shortened.
authors.affiliation: Department of Orthopaedics, Lin'an Hospital of Traditional Chinese Medicine, Linan 311300, Zhejiang, China. 457409259@qq.com
authors.forename: Ke-Hong
authors.initials: KH
authors.lastname: Sun
authors.forename: Yan-Xing
authors.initials: YX
authors.lastname: Gao
authors.forename: Ming
authors.initials: M
authors.lastname: Sha
authors.forename: Liang
authors.initials: L
authors.lastname: Zhou
authors.forename: Qi-Ping
authors.initials: QP
authors.lastname: Chu
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002111:Calcaneus / Q000601:surgery*; D003131:Combined Modality Therapy; D005260:Female; D005593:Fracture Fixation, Internal; D050723:Fractures, Bone / Q000601:surgery / Q000628:therapy*; D006801:Humans; D008297:Male; D008875:Middle Aged; D026201:Musculoskeletal Manipulations; D055815:Young Adult