对比分析微创闭合复位空心螺钉内固定与传统切开复位钢板固定治疗跟骨骨折的临床效果

Clinical Effect Comparative Analysis of Minimally Invasive Closed Reduction with Hollow Screw Internal Fixation and Traditional Open Reduction with Steel Plate Fixation in Treatment of Calcaneal Fractures

目的 评估跟骨骨折治疗中,传统切开复位钢板固定、微创闭合复位空心螺钉内固定的实施效果。方法 在符合跟骨骨折指征的患者中选取80例(选取年限为2018年10月—2023年3月),通过抛币法分为研究组和对照组,每组40例。研究组采用微创闭合复位空心螺钉内固定,对照组采用传统切开复位钢板固定。将上述两组治疗后的临床指标以及足功能的优良率纳入统计学计算工具对比。结果 研究组临床指标优于对照组,差异存在统计学对比意义(P<0.05);研究组足功能的优良率高于对照组,差异分析有统计学意义(P<0.05)。结论 微创闭合复位空心螺钉内固定对提升足功能的优良率具有积极意义,可以缩短手术、住院时间,改善跟骨B?hler角、Gissane角,推广价值高。

Objective To evaluate effect of traditional open reduction with steel plate fixation and minimally invasive closed reduction with hollow screw internal fixation in treatment of calcaneal fractures.Methods The paper chose 80 patients(from October 2018 to March 2023) met indications of calcaneal fractures,and divided them into two groups with coin throwing methods,40 cases in each group.Study group was treated with minimally invasive closed reduction and hollow screw internal fixation,and control group with traditional open reduction and steel plate fixation.Clinical indicators and excellent rate of foot function after treatment were compared by statistical calculation tool.Results Clinical indicators of study group were better than control group,with(P<0.05),indicating statistical significance.Excellent rate of foot function in study group was higher than control group,difference analysis was significant(P< 0.05).Conclusion Minimally invasive closed reduction and hollow screw internal fixation can achieve positive significance in improving excellent rate of foot function,shortening surgery and length of stay,improving B?hler angle and Gissane angle of calcaneus,which has high promotion value.