跟骨骨折约占跗骨骨折的60%,60%~75%累及距下关节~([1])。目前切开复位内固定术是治疗移位跟骨骨折的金标准,其中外侧可延长“L”形切口是最常使用的治疗方式,但这种方法容易出现软组织并发症。我科2014年1月至2015年3月采用跗骨窦入路联合无头空心螺钉治疗关节内跟骨骨折10例,手术方法为非传统的方法。护士在护理工作中主动配合,参与疼痛评估,在术后密切观察病情 Calcaneal fractures account for about 60% of the tarsal fractures, 60% to 75% of the subtalar articular involvement of the ~ ([1]). At present, open reduction and internal fixation is the gold standard for the treatment of displaced calcaneus fractures. The lateral extension of the “L” shaped incision is the most commonly used treatment, but this method is prone to soft tissue complications. In our department from January 2014 to March 2015, 10 cases of intra-articular calcaneal fractures were treated with tarsal sinus approach combined with headless hollow screws. The surgical method was unconventional. Nurses in the nursing work with the initiative to participate in pain assessment, close observation of the condition after surgery