粉碎性跟骨骨折手术切口的选择

Selection of surgical incision for comminuted calcaneal fracture

目的探讨粉碎性跟骨骨折手术切口的选择。方法 90例粉碎性跟骨骨折患者,按抽签法分为参照组和观察组,每组45例。参照组患者采用L型切口进行手术治疗,观察组患者采用U型切口进行手术治疗。比较两组患者的治疗效果、并发症发生情况。结果观察组患者治疗总有效率为95.56%,高于参照组的82.22%,差异具有统计学意义(P<0.05)。观察组患者并发症发生率为8.89%,低于参照组的31.11%,差异具有统计学意义(P<0.05)。结论对粉碎性跟骨骨折实施手术时,可应用丝线牵拉,减少对周边软组织损伤,降低手术切口感染率和坏死率,实施U型切口可有效保证骨折复位良好,减少术后并发症,从而获得理想的治疗效果。

Objective To investigate the selection of surgical incision for comminuted calcaneal fracture. Methods A total of 90 patients with comminuted calcaneal fracture were divided into reference group and observation group according to lottery method, 45 cases in each group. Patients in the reference group were treated with L-shaped incision. Patients in the observation group were treated with U-shaped incision. The therapeutic effect and occurrence of complications between the two groups were compared. Results The total effective rate of the observation group was 95.56%, which was significantly higher than 82.22% of the reference group, the difference was statistically significant（P〈0.05）. The incidence of complications in the observation group was 8.89%, which was significantly lower than 31.11% in the reference group, the difference was statistically significant（P〈0.05）. Conclusion In the surgery of comminuted calcaneal fracture, silk thread pulling can be used to reduce the injury of peripheral soft tissue, reduce the infection rate and necrosis rate of surgical incision. U-shaped incision can effectively ensure good reduction of fracture, reduce postoperative complications, and achieve ideal therapeutic effect.