改良跗骨窦切口解剖型锁定钢板内固定治疗Sanders Ⅱ、Ⅲ型跟骨骨折临床效果及足功能恢复情况分析

Clinical Effect of Modified Sinus Tarsal Incision and Anatomical Locking Plate Internal Fixation in the Treatment of Sanders Ⅱ, Ⅲ Calcaneal Fractures and Analysis of Foot Function Recovery

目的:探究改良跗骨窦切口解剖型锁定钢板内固定治疗SandersⅡ、Ⅲ型跟骨骨折临床效果及足功能恢复情况。方法:选取2017年1月-2019年1月本院收治的40例(40足)SandersⅡ、Ⅲ型跟骨骨折患者,根据随机数表法将其分为A组和B组,每组20例。A组采用改良跗骨窦切口解剖型锁定钢板内固定治疗,B组采用外侧"L"形切口内固定术治疗。比较两组临床指标、并发症发生情况及足功能恢复情况。结果:A组手术用时、切口长度均短于B组,术中出血量少于B组,差异均有统计出学意义(P<0.05)。两组近期并发症发生率比较,差异无统计学意义(P>0.05)。A组远期并发症发生率低于B组,差异有统计学意义(P<0.05)。A组足功能恢复优良率高于B组,差异有统计学意义(P<0.05)。结论:改良跗骨窦切口解剖型锁定钢板内固定治疗的手术用时少、创伤性小、安全性高、骨折愈合时间短,且可促进足功能恢复。

Objective:To explore the clinical effect of modified sinus tarsal incision and anatomical locking plate internal fixation in the treatment of Sanders Ⅱ,Ⅲ calcaneal fractures and analysis of the foot function recovery.Method:A total of 40 patients (40 feet) with calcaneal fractures of Sanders Ⅱ,Ⅲ type in our hospital from January 2017 to January 2019 were selected,and they were divided into group A and group B according to the random number table method,20 patients in each group.Group A was treated with modified sinus tarsal incision and anatomical locking plate internal fixation,group B was treated with external "L" incision internal fixation.The clinical indexes,incidence of complications and recovery of foot function recovery were compared between two groups.Result:The operation time and incision length of group A were shorter than those of group B,and the blood loss during operation of group A was less than that of group B,the differences were statistically significant (P<0.05).There was no significant difference in the incidence of recent complications between two groups (P>0.05).The incidence of long-term complications of the group A was lower than that of the group B,the difference was statistically significant (P<0.05).The total excellent and good rate of foot function recovery of the group A was higher than that of the group B,the difference was statistically significant (P<0.05).Conclusion:The modified sinus tarsal incision and anatomical locking plate internal fixation has less operation time,less trauma,high safety,short fracture healing time,and can promote the foot function recovery.