跟骨关节内骨折内固定手术并发症分析

Internal fixation of intra-articular calcaneal fractures surgical complications

目的研究分析跟骨关节内骨折固定手术并发症的发生原因,并针对其制定相应的预防及治疗措施。方法选取2012年10月—2014年10月在该院确诊收治的112例跟骨关节内骨折患者作为研究对象,将所有患者随机分为观察组和对照组,每组56例。观察组均给予切开复位外加"Y"型钢板内固定术进行治疗,对照组给予"L"形切口治疗。对比观察两组患者的伤口并发症发生率、手术时间再次手术发生率情况。结果观察组患者不良反应发生率为10.71%(6/60),显著低于对照组患者的23.21%(13/56),差异有统计学意义(P<0.05)。观察组临床治疗优良率为85.71%(48/56),71.13%(40/56),差异有统计学意义(P<0.05)。结论跟骨关节内骨折内固定手术并发症主要与跟骨受伤机制和跟骨解剖特点有密切关系,在最佳治疗时期给予充分的术前准备,手术过程中给予全厚皮瓣,术后采用石膏固定和围术期抗生素能够显著降低并发症发生率,缓解患者病情。

Objective To study the analysis of the fixed surgery complications intra-articular calcaneal fractures, and for the for-mulate corresponding prevention and treatment measures. Methods Select from October 2012 to October 2014 in our hospital treated 112 cases diagnosed calcaneal fracture patients for the study, all the patients were divided into two groups and the control group, 56 cases in each group. Observation group were treated with open reduction and internal plus ＆quot;Y＆quot; type plate fixation for treatment, control group received ＆quot;L＆quot; shaped incision. Comparing the incidence of wound complications were observed in both groups of patients, the incidence of reoperation operative time situation. Results Observed adverse reactions in patients was 10.71% （6/60）, significantly lower than the 23.21% （13/56） of patients in the control group, the difference was statistically signifi-cant （P〈0.05）. Excellent clinical observation group was 85.71%（48/56）, 71.13%（40/56）, the difference was statistically significant （P 〈0.05）. Conclusion Surgical complications mainly with internal fixation of intra-articular calcaneal fractures with bone injury mechanism and calcaneal anatomic characteristics have a close relationship, in the best period of treatment to give sufficient pre-operative preparation, giving full thickness skin flap in the process of operation, postoperative with plaster fixation and periopera-tive antibiotics can significantly reduce the incidence of complications, and reduce patients.