ObjectiveTo compare the efficacy and complications of modified tarsal sinus incision and expanded lateral calcaneal L-shaped incision plate fixation for SanderⅡ-Ⅲ calcaneal fractures.
MethodsEighty patients with SanderⅡ-Ⅲ calcaneal fractures were selected and randomly divided into the tarsal sinus incision group and L-shaped incision group, with 40 cases in each group, and the patients were treated with modified tarsal sinus incision and expanded L-shaped incision plate fixation, respectively.The operation situation, recovery situation, postoperative complications and changes of ankle function at 12 months after operation were compared between the two groups.
ResultsThe operation time, intraoperative bleeding and postoperative hospital stay in the tarsal sinus incision group were significantly lower than those in the L-shaped incision group(P < 0.01), and there was no significant difference in fracture healing time between the two groups(P>0.05).The incidence of postoperative complications in the tarsal sinus incision group was 5.00%(2/40), which was lower than that of 22.50%(9/40) in the L-shaped incision group(P < 0.05).The Bohler angle, Gissane angle, middle calcaneal width and Mayfand score in the two groups were higher than those before operation(P < 0.05).The Mayfand score at one year after operation in the tarsal sinus incision group was significantly higher than that in the L-shaped incision group(P < 0.01).The excellent and good rate at one year after operation in the tarsal sinus incision group was 77.50%(31/40), which was higher than that of 60.00%(24/60) in the L-shaped incision group(P < 0.05).
ConclusionsThe curative effect of modified tarsal sinus incision for SanderⅡ-Ⅲ calcaneal fractures is better than that of expanded lateral calcaneal L-shaped incision plate fixation, and the former has faster postoperative recovery, lower incidence of complications and better recovery of foot function.
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