外侧扩展入路附加内侧小切口手术治疗跟骨关节内骨折的临床效果

Clinical effect of lateral extended approach plus medial small incision for intra-articular calcaneal fractures

目的:探究骨关节内骨折实施侧扩展入路附加内侧小切口手术的临床效果。方法:将我院自2018年6月-2020年5月期间收治的64例骨关节内骨折患者通过随机抽查的方式分为观察组与对照组,2组分别纳入32例患者,观察组患者实施外侧扩展入路阡加内侧小切口手术,对照组患者外侧L形切口手术,对比2组患者Bohler角,Gissane角、并发症发生情况及恢复情况。结果:观察组患者Bohler角为27.96°±2.32°,高于对照组的24.26°±2.03°(t=7.6852,P=0.0000),Gissane角为122.62°±3.49°,高于对照组的116.59°±3.18°(t=8.1776,P=0.000),并发症发生率为3.12%,低于对照组的18.75%(x^(2)=4.0100,P=0.0452),统计学存在研究意义;观察组恢复优良率为96.87%,与观察组的93.75%无差异,x^(2)=0.3497,P=0.5542>0.05,统计学无分析意义。结论:骨关节内骨折实施侧扩展入路附加内侧小切口手术治疗效果显著,可改善Bohler角和Gissane角,使关节更稳定,安全性较高,值得推广。

Objective:to investigate the clinical results of Intra articular fractures treated with lateral expansion approach plus medial small incision.Methods:64 patients with intra-articular fracture were randomly divided into experimental group and Control Group from June 2018 to May 2020,including 32 patients,the patients in the test group were treated with lateral extended approach plus medial small incision,and the patients in the control group were treated with lateral 1-shaped incision.Results:the values of B Hler Angle(27.96±2.32)and Gissane angle(122.62±3.49)in the experimental group were significantly higher than those in the Control Group(24.26±2.03)(t=7.6852,p=0.0000)andthoseinthe controlgroup(116.59±3.18)(t=8.1776,p=0.0000),the rate ofcomplication was 3.12%lower than that of control group(18.75%,x2=24.0100,p=0.0452),which was statistically significant,and the recover-y rate of excellent and good was 96.87%and 93.75%,x2=0.3497,P=0.5542>0.05,statistics have no analytical significance.Conclusion:The treatment of intra-articular fracture by lateral extended approach plus medial small incision is effective,it can improve the angle of B Hler and the angle of Gissane to make the joint more stable and safe,which is worth popularizing.