魏令, 祝蒙见, 王皓宇, 黄明. 锁定钢板经跗骨窦入路治疗跟骨骨折疗效分析[J]. 蚌埠医学院学报, 2021, 46(9): 1204-1207. DOI: 10.13898/j.cnki.issn.1000-2200.2021.09.013
    引用本文: 魏令, 祝蒙见, 王皓宇, 黄明. 锁定钢板经跗骨窦入路治疗跟骨骨折疗效分析[J]. 蚌埠医学院学报, 2021, 46(9): 1204-1207. DOI: 10.13898/j.cnki.issn.1000-2200.2021.09.013
    WEI Ling, ZHU Meng-jian, WANG Hao-yu, HUANG Ming. The curative effect analysis of locking plate via tarsal sinus approach in the treatment of calcaneal fractures[J]. Journal of Bengbu Medical College, 2021, 46(9): 1204-1207. DOI: 10.13898/j.cnki.issn.1000-2200.2021.09.013
    Citation: WEI Ling, ZHU Meng-jian, WANG Hao-yu, HUANG Ming. The curative effect analysis of locking plate via tarsal sinus approach in the treatment of calcaneal fractures[J]. Journal of Bengbu Medical College, 2021, 46(9): 1204-1207. DOI: 10.13898/j.cnki.issn.1000-2200.2021.09.013

    锁定钢板经跗骨窦入路治疗跟骨骨折疗效分析

    The curative effect analysis of locking plate via tarsal sinus approach in the treatment of calcaneal fractures

    • 摘要:
      目的比较锁定钢板经跗骨窦入路与经外侧扩大"L"入路治疗跟骨骨折的临床疗效。
      方法回顾性分析62例跟骨骨折(SandersⅡ~Ⅳ型)病人的临床资料,其中采用锁定钢板经跗骨窦入路治疗(研究组)32例,经外侧扩大"L"入路治疗(对照组)30例,比较2组手术时间、切口长度、术后并发症、切口及骨折愈合时间、术后AOFAS评分、手术前后Bohler角、Gissane角、跟骨宽度等指标情况。
      结果2组手术时间、骨折愈合时间、术后并发症发生情况差异均无统计学意义(P>0.05);研究组手术切口长度、切口愈合时间均短于对照组(P < 0.05);术前及术后2组病人Bohler角、Gissane角、跟骨宽度差异均无统计学意义(P>0.05),术后第3个月研究组AOFAS评分优于对照组(P < 0.05),术后第6个月和第12个月AOFAS评分差异均无统计学意义(P>0.05);组内比较,术后2组病人Bohler角、Gissane角均大于术前,跟骨宽度均小于术前(P < 0.05)。
      结论锁定钢板经跗骨窦入路治疗跟骨骨折具有创伤小、并发症少等优点,是一种理想的治疗方式。

       

      Abstract:
      ObjectiveTo compare the clinical efficacy of locking plate through tarsal sinus approach and lateral extended "L" approach in the treatment of calcaneal fractures.
      MethodsThe clinical data of 62 patients with calcaneal fractures(Sanders Ⅱ, Ⅲ and Ⅳ) were retrospectively analyzed.Thirty-two cases treated with locking plate through tarsal sinus approach and 30 cases treated with lateral extended "L" approach were divided into the observation group and control group, respectively.The operation time, incision length, postoperative complications, incision and fracture healing time, and AOFAS score, Bohler angle, Gissane angle and calcaneal width before and after operation were compared between two groups.
      ResultsThe differences of the operation time, fracture healing time and postoperative complications between two groups were not statistically significant(P>0.05).The length length and healing time of incision in observation group were less than those in control group(P < 0.05);The differences of the Bohler angle, Gissane angle and calcaneal width between two groups before and after operation were not statistically significant(P>0.05).The AOFAS score in observation group after 3 months of operation was better than those in control group(P < 0.05), and the differences of the AOFAS scores in two groups between after 6 and 12 months of operation were not statistically significant(P>0.05).After operation, the Bohler angle and Gissane angle in two groups were greater than those before operation, and the calcaneal width in two groups was less than that before operation(P < 0.05).
      ConclusionsThe locking plate through tarsal sinus approach in the treatment of calcaneal fractures has the advantages of less trauma and complications, and it is an ideal form of therapy.

       

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