This study compared surgical and non-surgical treatment of 46 calcaneal fractures in children aged 3-17 years. Patients were divided into: Group A ranging 3-14 years and Group B 15-17 years, and classified according to surgical or non-surgical treatment. Mean follow-up was 22.8 years. Extra-articular fractures were treated non-surgically and all results were satisfactory. Results of articular fractures in Group A were satisfactory regardless of the type of treatment. Articular fractures surgically treated in group B were satisfactory, and those non-surgically treated were mainly poor. Extra-articular fractures can be treated non-surgically. Articular fractures in skeletally immature children can be treated non-surgically; conversely, those in children with skeletal maturity must be treated surgically.
这项研究比较了3-17岁儿童46例跟骨骨折的手术和非手术治疗。患者被分为两组:A组年龄在3-14岁,B组年龄在15-17岁,并根据手术或非手术治疗进行分类。平均随访时间为22.8年。非关节性骨折采用非手术治疗,所有结果都令人满意。A组关节性骨折的结果无论治疗类型如何都是令人满意的。B组关节性骨折经手术治疗的结果满意,而非手术治疗的结果主要是不理想的。非关节性骨折可以采用非手术治疗。未成熟骨骼的儿童的关节性骨折可以采用非手术治疗;相反,具有骨骼成熟的儿童必须接受手术治疗。