两种开放复位内固定治疗跟骨骨折的比较
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无锡市中医医院

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无锡市“双百”后备拔尖人才项目(编号:HB2020064)


A clinical comparative study of two kinds of open reduction and internal fixation in the treatment of calcaneal fractures
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Wuxi Affilliated Hospital of Nanjing University of Chinese Medicine

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    摘要:

    目的 探究两种开放复位内固定治疗关节内跟骨骨折的临床疗效。方法 选取2016年3月至2020年1月在本科室手术治疗跟骨骨折35例,按数字随机法分为常规组19例和微创组16例。对照组进行外侧L形切口联合解剖型跟骨钢板固定,微创组选择跗骨窦切口联合微型钢板及双柱空心螺钉固定,记录比较两组患者手术时间、切口长度、愈合情况、治疗前后VAS评分、Maryland功能评分、跟骨影像学参数等临床疗效。结果 术后及末次随访两组患者的骨影像学参数、患足功能评分、骨折愈合情况等疗效指标均获得明显改善(P>0.05),且微创组患者的切口更短、切口愈合更好,差异存在统计学差异(P<0.05)。结论 两种手术方式治疗关节内跟骨骨折均获得良好复位内固定效果,其中跗骨窦切口微创内固定治疗方案切口更小、并发症更少,有利于提高患者综合疗效。

    Abstract:

    Objective To explore the clinical effects of two kinds of open reduction and internal fixation in the treatment of calcaneal fractures. Methods From March 2016 to January 2020, 35 cases of calcaneal fractures were surgically treated in the undergraduate room. According to the random description method, they were divided into 19 cases in the conventional group and 16 cases in the minimally invasive group. The control group received lateral L-shaped incision combined with anatomical calcaneal plate fixation, and the minimally invasive group chose sinus tarsal incision combined with microplate and hollow screw fixation. The VAS scores, Maryland function scores, and calcaneal imaging parameters of the two groups were compared before and after treatment. Clinical efficacy. Results The bone imaging parameters, foot function scores, fracture healing and other curative effects of the two groups of patients after surgery and the last follow-up were significantly improved (P>0.05), and the minimally invasive group had shorter incisions and better incision healing , The difference is statistically significant (P<0.05). Conclusion Both surgical methods have achieved good fracture reduction and internal fixation effects. Among them, the minimally invasive internal fixation of the sinus tarsal incision has a smaller incision and fewer complications, which is beneficial to improve the overall efficacy of the patient.

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  • 收稿日期:2021-07-06
  • 最后修改日期:2021-10-31
  • 录用日期:2022-02-09
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