经皮撬拨复位空心螺钉与切开复位钢板内固定治疗SandersⅡ~Ⅲ型跟骨骨折的疗效

percutaneous prying reduction cannulated screw and open reduction and plate internal fixation in the treatment of Sanders Ⅱ-Ⅲ calcaneal fractures

目的分析经皮撬拨复位空心螺钉与切开复位钢板内固定治疗SandersⅡ~Ⅲ型跟骨骨折的疗效。方法选取2015年6月至2020年6月本院收治的SandersⅡ~Ⅲ型跟骨骨折患者100例,按照随机单双数法分为两组,各50例。对照组采用切开复位钢板内固定治疗,观察组采用皮撬拨复位空心螺钉治疗,比较两组患者指标改善情况及恢复效果。结果术前,两组患者跟骨宽度、Böhler角比较差异无统计学意义;治疗后,观察组Gissane角高于对照组,差异有统计学意义(P<0.05);治疗后,两组患者Böhler角、跟骨宽度比较差异无统计学意义;治疗后,观察组住院时间、手术时间均短于对照组,术中出血量少于对照组,差异有统计学意义(P<0.05);两组患者骨折愈合时间比较差异无统计学意义;观察组患者并发症总发生率低于对照组,差异有统计学意义(P<0.05)。结论经皮撬拨复位空心螺钉治疗SandersⅡ~Ⅲ型跟骨骨折患者不仅可提高治疗效果,而且可改善临床指标,并发症较少,值得临床推广应用。

Objective To analyze the effect of percutaneous prying reduction cannulated screw and open reduction and plate internal fixation in the treatment of Sanders.Methods 100 patients with Sanders Ⅱ-Ⅲ calcaneal fractures from June 2015 to June 2020 were divided into two groups according to the random single and even number method,with 50 cases in each group.The control group was treated with open reduction and plate internal fixation,and the observation group was treated with percutaneous prying reduction cannulated screw.The improvement indexes and recovery effects between the two groups were compared.Results Before operation,there was no significant difference in calcaneal width,Böhler angle,Gissane angel between the two groups;after treatment,Gissane angle of the observation group was higher than those of the control group,the difference was statistically significant(P<0.05);after treatment,there was no significant difference in Böhler angle and calcaneal width between the two groups;after treatment,the hospitalization time and operation time of the observation group were shorter than those of the control group,and the intraoperative blood loss was less than that of the control group,the difference was statistically significant(P<0.05);there was no significant difference in fracture healing time between the two groups;the total incidence of complications in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).Conclusion Percutaneous prying reduction cannulated screw in the treatment of Sanders Ⅱ-Ⅲ calcaneal fracture patients can not only improve the treatment effect,but also improve the clinical indicators,with fewer complications,which is worthy of clinical application.