摘要
Abstract
Objective To compare the therapeutic effects of tarsal sinus incision plate internal fixation and prying re-duction cannulated screw internal fixation on Sanders typeⅡcalcaneal fractures.Methods Sixty patients with Sand-ers type Ⅱ calcaneal fractures were divided into an observation group(treated with prying reduction and cannulated screw internal fixation,30 cases)and a control group(treated with tarsal sinus incision and plate internal fixation,30 cases)using the random number table method.Perioperative indicators,postoperative complications incidence,ankle range of motion,fracture healing,pain VAS,and imaging indicators were compared between two groups.The therapeu-tic effect was evaluated by using AOFAS ankle-hindfoot score.Results All patients were followed up for 12 months after surgery.The observation group had fewer(shorter)intraoperative bleeding,surgery time,and hospital stay,com-pared to the control group(P<0.01).At1 month postoperation,the two groups of Gissane angle,Böhler angle,and calcaneal width and height were all better than before surgery(P<0.05).At the last follow-up,the ankle range of mo-tion in both groups was greater than that 1 month after operation(P<0.05).As time went on,the callus growth scores of both groups were gradually increased(P<0.05).There were no statistical differences in callus growth score at 1,2,3 months and fracture healing time between the two groups(P>0.05).The observation group was better than the control group in the terms of the incidence of postoperative complications,the pain VAS and AOFAS ankle-hindfoot score at the last follow-up(P<0.05).Conclusions Both tarsal sinus incision plate internal fixation and prying re-duction cannulated screw internal fixation can effectively treat Sanders typeⅡcalcaneal fractures.However,prying re-duction cannulated screw internal fixation can further reduce intraoperative bleeding,shorten surgical and hospitaliza-tion time,alleviate postoperative pain,reduce the occurrence of postoperative complications,which is more conducive to the functional recovery of patients.关键词
跗骨窦切口/钢板内固定/撬拨复位空心钉内固定/Sanders Ⅱ型跟骨骨折/Gissane角/Böhler角Key words
tarsal sinus incision/plate internal fixation/prying reduction cannulated screw internal fixation/Sanders type Ⅱ calcaneal fractures/Gissane angle/Böhler angle分类
医药卫生
