摘要
Abstract
Objective To investigate the effects of minimally invasive plate fixation via tarsal sinus approach on postoperative foot function and serum inflammatory factor levels in patients with Sanders Ⅱ and Ⅲ calcaneal fractures.Methods 212 patients with Sanders Ⅱ and Ⅲ calcaneal fracture who received surgical treatment in the First Affiliated Hospital of Xinjiang Medical University from January 2021 to January 2023 were selected and divided into observation group(106 cases with minimally invasive plate fixation via tarsal sinus approach)and control group(106 cases with L-shaped incision reduction and internal fixation)by random number table method.The therapeutic effect,operation status,foot function,serum inflammatory factors[tumor necrosis factor-α(TNF-α),interleukin-6(IL-6)and interleukin-10(IL-10)]and the incidence of complications were compared.Results The rate of excellent and good treatment in observation group(94.34％)was higher than that in control group(85.85％),the difference was statistically significant(P＜0.05).Operation time,intraoperative blood loss,average fluoroscopy times,postoperative drainage volume,postoperative pain score 24 h,hospital stay and fracture healing time in the observation group were all lower than those in the control group(P＜0.05).After operation,Boher Angle and Gissane Angle were enlarged in both groups,but there was no significant difference between groups(P＞0.05).The Maryland foot function scores of both groups were increased,and the observation group was higher than the control group(P＜0.05).After surgery,serum levels of TNF-α,IL-6 and IL-10 in both groups first increased and then decreased,and the serum levels of TNF-α,IL-6 and IL-10 in the observation group were lower than those in the control group on day 1 and day 5 after surgery(P＜0.05).The complication rate of observation group(2.83％)was lower than that of control group(10.38％),which the difference was statistically significant(P＜0.05).Conclusion Minimally invasive plate fixation via tarsal sinus approach for the treatment of Sanders Ⅱ and Ⅲcalcaneal fractures has significant effects,which can improve postoperative foot function,reduce inflammatory stimulation,accelerate recovery,and reduce complications,which is worthy of promotion.关键词
经跗骨窦入路/微创钢板固定/跟骨骨折/足部功能/炎症因子Key words
Transtarsal sinus approach/minimally invasive plate fixation/calcaneus fracture/foot function/inflammatory factor分类
医药卫生
