中国中医骨伤科杂志2026，Vol.34Issue(5)：39-44,6.DOI:10.20085/j.cnki.issn1005-0205.260506
经跗骨窦切口入路跟腓韧带处理对跟骨骨折术后功能影响的临床研究
Clinical Study on the Effect of Calcaneofibular Ligament Treatment via Sinus Tarsi Approach on Postoperative Function Recovery in Patients with Calcaneal Fractures
摘要
Abstract
Objective:To explore the impact of intraoperative calcaneofibular ligament(CFL)repair on the medium and long-term functional recovery in patients with the treatment of calcaneal fractures via the tarsal sinus incision approach.Methods:A retrospective analysis was conducted on the clini-cal data of 60 patients with Sanders type Ⅱ/Ⅲ calcaneal fractures who were admitted between January 2022 and December 2023.All patients were treated with surgery via the tarsal sinus incision approach.According to whether the calcaneofibular ligament was repaired during the operation,the patients were divided into the CFL repair group(n=30)and the CFL non-repair group(n=30).The operation time,intraoperative blood loss,fracture healing time,and quality of fracture reduction were compared between the two patient groups.All patients were followed up for at least 12 months after the operation.The functional recovery was evaluated using the American orthopaedic foot&ankle society(AOFAS)ankle-hindfoot score and the Maryland foot score.The degree of pain was evaluated by the visual analogue scale(VAS).The incidence of adverse events-including incision-related complications,subjective ankle instability,and early imaging findings suggestive of subtalar arthritis-was also recorded.Results:The operative time of the CFL non-repair group was(53.29±11.37)min,which was significantly shorter than that of the CFL repair group(68.73±10.35)min,and the difference was statistically significant(P<0.05).However,there was no significant difference in intraoperative blood loss between the two groups(P>0.05).All patients achieved bony union of fractures.There was no significant difference in fracture healing time or fracture reduction quality between the two groups(P>0.05).At 12 months after the operation,the AOFAS scores of the CFL repair group(89.53±6.22)points were significantly higher than that of the CFL non-repair group(82.31±7.54)points.The Maryland scores of the CFL repair group(90.07±4.81)points were also significantly higher than that of the CFL non-repair group(83.62±5.47)points.The VAS scores of the CFL repair group were(1.34±0.72)points,which were significantly lower than that of the CFL non-repair group(2.14±0.93)points,and the difference was statistically significant(P<0.05).In addition,the incidence of subjective ankle instability in the CFL repair group was 3.3%,and that in the CFL non-repair group was 20.0%.There was a statistically significant difference between the two groups(P<0.05).There was no significant difference between the two groups in terms of in-cision-related complications and early imaging findings of subtalar arthritis.Conclusion:When treating calcaneal fractures through the tarsal sinus incision approach,although the repair of the calcaneal peroneal ligament slightly prolongs the operation time,it can significantly improve the medium-and long-term functional scores,reduces pain,and effectively lowers the risk of postoperative ankle instability,thereby achieving better clinical efficacy.关键词
跟骨骨折/跗骨窦切口/跟腓韧带/功能恢复/踝关节不稳Key words
calcaneal fracture/sinus tarsi approach/calcaneofibular ligament/functional recovery/ankle instability分类
医药卫生引用本文复制引用
吴杭,李强,袁海涛,古鹏,范少勇,邓雄伟..经跗骨窦切口入路跟腓韧带处理对跟骨骨折术后功能影响的临床研究[J].中国中医骨伤科杂志,2026,34(5):39-44,6.基金项目
国家自然科学基金项目(82560946)江西省自然科学基金项目(2025BAC200562)江西省卫生健康委科技计划(SKJP220219574)江西省中医药中青年骨干人才(第一批)培养计划项目(赣中医药科教字[2020]2号)南昌市市级重点专科建设项目(洪卫体改字[2023]10号) （82560946）
