title: [Treatment of linguiform calcaneus fracture by close nail-pry reduction and internal fixation with hollow screws].
abstract: OBJECTIVE
  To study the curative effects of close nail-pry reduction and internal fixation with hollow screws for treatment of linguiform calcaneus fracture.
  
  
  METHODS
  From May 2006 to October 2009,32 patients (35 feet) with linguiform calcaneus fracture were treated by close nail-pry reduction and internal fixation with hollow screws, including 23 males and 9 females ranging in age from 25 to 46 years, with a mean of 37.6 years. According to Paley classification, 3 cases were Paley II a, and 29 cases were Paley II b. All cases were close fractures. The time from injury to operation was 3 to 10 days after most swelling subsided. Böhler angle and Gissane angle were measured by X-ray before and after operation. The therapeutic effect was assessed according to ZHANG Tie-liang's foot score.
  
  
  RESULTS
  All the patients were followed-up for 6 to 18 months, with a mean of 12 months. All fractures gained bone healing. The time of fracture healing averaged 12 months. The fractures healed completely and no infection occurred. According to ZHANG Tie-liang's foot scale, the postoperative function was excellent in 18 feet, good in 10 feet, moderate in 5 feet and poor in 2 feet. The Böhler angle and Gissane angle were significant improved after treatment (P < 0.01).
  
  
  CONCLUSIONS
  The surgical method of close nail-pry reduction and internal fixation with hollow screws for treatment of linguiform calcaneus fracture can regain the foot function, with minimal injury, fewer complications, earlier recovery and lower costs.
authors.affiliation: Department of the 2nd Orthopaedics, Hongdu Hospital of Traditional Chinese Medicine, Nanchang 330008, Jiangxi, China.
authors.forename: Shu-Qiang
authors.initials: SQ
authors.lastname: Tu
authors.forename: Ke-Di
authors.initials: KD
authors.lastname: Huang
authors.forename: Yong-Ming
authors.initials: YM
authors.lastname: Shuai
authors.forename: Nan-Yun
authors.initials: NY
authors.lastname: Xu
authors.forename: Qiu-Wen
authors.initials: QW
authors.lastname: Yuan
authors.forename: Jian
authors.initials: J
authors.lastname: Guo
mesh_terms: D000328:Adult; D001858:Bone Nails; D001863:Bone Screws; D002111:Calcaneus / Q000293:injuries*; D005260:Female; D005593:Fracture Fixation, Internal / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged