小切口有限内固定治疗关节面移位跟骨骨折疗效及安全性评价

Evaluation of Safety and Efficacy of Small Incision Limited Internal Fixation for DisplacedIntra-articular Calcaneal Fractures

目的:探究临床采取小切口有限内固定治疗关节面移位跟骨骨折的治疗效果和安全性.方法:选取2013年6月~2015年6月我院治疗的存在关节面移位跟骨骨折的病人110例,随机分成观察组和对照组,观察组采取小切口有限内固定治疗,对照组选择L型切口于跟骨外侧进行内固定治疗,对比2组临床成效及治疗的安全性.结果:观察组患者的Bohler角恢复情况、Gissane角恢复情况及足部评分都与对照组无明显差异,差异无统计学意义(P>0.05),观察组患者治疗用时、院内开销都优于对照组,同时不适症状的发生情况明显少于对照组,这些差异有统计学统计价值(P<0.05).结论:对于临床治疗关节面移位跟骨骨折,选择小切口有限内固定方法,能够减少术后不适症状的发生,缩短治疗时间,减轻患者的经济负担,并且达到相同甚至更优的治疗效果,推荐临床广泛应用.

Objective:to explore the clinical effect and safety of small incision limited internal fixation for the treatment of displaced intra-articular calcaneal fractures.Methods: From 2013-06 to 2015-06 in our hospital treatment of displaced intra-articular calcaneal fractures in 110 patients, were randomly divided into study group and control group, study group were treated by small incision limited internal fixation, the reference group for type L incision internal fixation for calcaneal lateral, safety of the two groups were compared clinical effects and treatment.Resuilts: The study group of patients with Bohler angle recovery, the recovery of Gissane angle and foot score had no significant difference with the control group, the difference was not statistically significant (P > 0.05), study group patients in time and hospital expenses are better than the control group, and the discomfort symptoms were significantly less than the control group, there was statistical the statistical value of these differences (P < 0.05).Conclusion: For the treatment of displaced intra-articular calcaneal fractures, choose small incision limited internal fixation method, can reduce the occurrence of postoperative discomfort, shorten treatment time, reduce the economic burden of the patients, and to achieve the same or even better treatment effect, recommended clinical widely used.