平行微创切口钛板内固定治疗跟骨骨折20例

Analysis of treatment of calcaneal fractures with parallel minimally invasive incision and titanium plate internal fixation

目的:探讨平行微创切口钛板内固定治疗跟骨骨折的疗效。方法:收治跟骨骨折患者20例,给予平行微创切口钛板内固定治疗,随访10～12个月。结果:该术式手术时间短,出血量少,切口全甲级愈合,Bolher角及Gissane角恢复好,骨折均达到骨性愈合,手术并发症少。结论:该手术入路安全,无足背外侧皮神经损伤,手术创伤小,切口感染风险及皮瓣坏死风险极低,Bolher角、Gissane角及跟骨高度宽度、恢复满意,骨折愈合率高,无踝关节功能障碍。

Objective：To evaluate the efficacy of parallel minimally invasive titanium plate internal fixation in the treatment of calcaneal fractures.Methods：20 cases of calcaneal fractures were treated with parallel minimally invasive titanium plate internal fixation,followed up for 10-12 months.Results：The operation time was short,blood volume was less,all the incision was healed,Bolher angle and Gissane angle recovered well.All the fractures reached bone healing,and the complications were less.Conclusion：The surgical approach is safe,no foot dorsal lateral cutaneous nerve injury,surgical trauma is small,the risk of incision infection and the risk of skin flap necrosis are very low.The recovery of Bolher angle,Gissane angle and calcaneus height is satisfactory,the fracture healing rate is high,and there is no malleolus joint dysfunction.