解剖型钢板内固定对老年跟骨关节内骨折距下关节活动度的影响

Effect of anatomical plate internal fixation on subtalar joint motion of intra-articular calcaneal fractures in elderly patients

目的:探讨解剖型钢板内固定对老年跟骨关节内骨折距下关节活动度的影响。方法:观察组80例患者采用解剖型钢板进行内固定,对照组80例患者采用Y形钢板进行内固定,观察两组患者一般手术指标、术后6个月恢复情况以及距下关节活动度情况。结果:观察组除了切口长度以外,各项手术指标及住院时间指标均优于对照组(P<0.05);观察组患者的术后整体有效恢复率为95.0%(75/80),高于对照组患者81.2%(65/80)的术后整体有效恢复率(P<0.05);观察组患者距下关节活动度的整体受限度为12.5%(10/80),对照组患者距下关节活动度的整体受限度为16.5%(13/80),观察组低于对照组(P<0.05)。结论:解剖型钢板内固定在治疗老年跟骨关节内骨折时,其手术过程更加优化、术后并发症发生率较低,且术后对距下关节活动度的不利影响较小。

Objective：To investigate the effect of anatomical plate internal fixation on the subtalar joint motion of intra - articular calcaneal fractures in elderly patients. Methods： The anatomical plate was used for internal fixation of patients in the observation group while Y plate was used in the control group. Results ： Except for the length of the incision, the operative indexes in the observation group were better than those in the control group ; the hospitalization time in the observation group was shorter than that in the control group. （ P 〈 0.05 ）. The overall effective recov- ery rate after surgery of the patients in the observation group was 95.00 % （75/80） ,whieh was statistically higher than that in the control group （81.25 % , 65/80） （ P 〈0.05）. The overall limitation of the subtalar range of motion was 12.50 % （10/80） in the observation group and 16.50 % （13/80） in the control group, the difference being statistically significant （ P 〈 0.05 ）. Conclusion： Anatomical plate fixation is more effective in the treatment of intra - articular calcaneal fractures in the elderly. Its operation process is more optimized, the incidence of postoperative complications is lower and the adverse effects on postoperative subtalar range of motion are less.