跗骨窦小切口与传统外侧“L”型切口内固定治疗跟骨骨折的临床疗效

Comparison of the Clinical Curative Effect of Sagittal Sinus Small Incision and Traditional Lateral L-Shaped Incision Internal Fixation for the Treatment of Calcaneal Fractures

目的:探究跟骨骨折的固定治疗中运用跗骨窦小切口与传统外侧"L"型切口的临床疗效。方法:选取2014年5月至2017年6月在东莞市塘厦医院接受治疗的70例跟骨骨折的患者,将其进行随机性的分组,分为观察组和对照组,每组35例。观察组患者运用跗骨窦小切口固定的方式治疗,对照组用传统外侧"L"型切口内固定的方式治疗,对两组患者进行随访,比较治疗的效果。结果:治疗后观察组患者的美国矫形外科足踝协会(AOFAS)评分、Kofoed评分以及Maryland评分的优良率明显高于对照组,组间比较,差异均具有统计学意义(P<0.05)在随访的时间内,对照组患者的并发症发生率明显比观察组高,分别为50.5%和10.5%,组间比较,差异具有统计学意义(P<0.05)。结论:跗骨窦小切口空心钉内固定在治疗跟骨骨折中的优势更加明显,且出现的不良反应更加少,治疗的效果比较好,临床上值得借鉴。

Objective The purpose of this study is to investigate the clinical effect of the small incision of the tarsal sinus and the traditional lateral L-shaped incision in the treatment of calcaneal fracture. Methods 70 patients with calcaneal fracture were randomly divided into two groups：observation group and control group, 35 cases each. The observation group was treated with small incision of tarsal sinus, while the control group was treated with traditional lateral L-shaped incision fixation. Two groups were followed up for the treatment and analysis of the effect of treatment. Results After the treatment, the excellent rate of the observation group AOFAS score was significantly higher than the control group, and the difference was statistically significant （P 〈 0.05）. During the follow-up period, the incidence of complications in the control group was significantly higher than that in the observation group （50.5 % and 10.5 %, respectively）. The effect was significantly better than that of the control group. Conclusion Treatment of calcaneal sinus small incision with cannulated screw fixation has more advantages in the treatment of calcaneal fractures, and the occurrence of adverse reactions is even less, the treatment effect is better, and it is worth referring to in clinical practice.