Comparison of Clinical Effect of PFNA and Internal Fixation with Anatomical Locking Plate of Proximal Femur in Treatment of Intertrochanteric Fracture of Femur

Purpose:To investigate the clinical value of proximal femoral nail antirotation and anatomical locking plate of proximal femur in the treatment of intertrochanteric fracture of femur.Methods:The study group is treated with PFNA internal fixation.The control group is treated by internal fixation with anatomical locking plate of proximal femur.Results:The time of operation,the amount of intraoperative bleeding and the time of fracture healing in the study group are significantly less than those in the control group.The incidence rate of complication in the study group(3.23%)is significantly lower than that in the control group(17.2%).Data comparison shows P<0.05.Conclusion:The curative effect and prognosis for patients with intertrochanteric fracture of femur treated by PFNA internal fixation are more ideal.

Effect of locking compression plate internal fixation on the injury extent and bone metabolism of Robinson 2A and 2B middle clavicular fractures

Objective:To investigate the effect of locking compression plate internal fixation on the injury extent and bone metabolism of Robinson 2A and 2B middle clavicular fractures.Methods:Totally 80 cases of patients with Robinson 2A and 2B middle clavicular fractures admitted to our hospital between March 2017 and January 2019 were divided into the control group(n=41)receiving conventional kirschner wire internal fixation and the observation group(n=39)receiving locking compression plate internal fixation according to the operation plans.The differences in serum contents of inflammatory factors,oxidative stress indexes and bone metabolism indexes were compared between the two groups of patients before patients entered operating room,24 h after surgery and 48 h after surgery.Results:Before patients entered operating room,there were no statistically significant differences in the serum contents of inflammatory factors,oxidative stress indexes or bone metabolism indexes between the two groups(P>0.05).At 24 h and 48 h after surgery,serum inflammatory factors interleukin-1(IL-1),interleukin-17(IL-17),high-sensitivity C-reactive protein(hs-CRP)and tumor necrosis factorα(TNF-α)contents in the observation group were lower than those in the control group;serum reactive oxygen species(ROS)and lipid hydroperoxide(LHP)contents were lower than those in the control group,while catalase(CAT)and glutathione peroxidase(GSH-Px)contents were higher than those in the control group;serum N-terminal propeptide of procollagen type I(PINP),bone gla protein(BGP)and alkaline phosphatase(ALP)contents were higher than those in the control group,while N-telopeptide of typeⅠcollagen(NTX),C-telopeptide of typeⅠcollagen(CTX)and tartrate-resistant acid phosphatase 5b(TRACP5b)contents were lower than those in the control group(P<0.05).Conclusion:Locking compression plate internal fixation can reduce the postoperative trauma extent and help promote the fracture healing in patients with Robinson 2A and 2B middle clavicular fracture.

Comparison of Clinical Effect of PFNA and Internal Fixation with Anatomical Locking Plate of Proximal Femur in Treatment of Intertrochanteric Fracture of Femur

Purpose To investigate the clinical value of proximal femoral nail antirotation and anatomical locking plate of proximal femur in the treatment of intertrochanteric fracture of femur.Methods The study group is treated with PFNA internal fixation.The control group is treated by internal fixation with anatomical locking plate of proximal femur.Results The time of operation,the amount of intraoperative bleeding and the time of fracture healing in the study group are significantly less than those in the control group.The incidence rate of complication in the study group(3.23%)is significantly lower than that in the control group(17.2%).Data comparison shows P<0.05.Conclusion The curative effect and prognosis for patients with intertrochanteric fracture of femur treated by PFNA internal fixation are more ideal.

Effects of bridge combined internal fixation system internal fixation on fracture healing and shoulder joint function in elderly patients with displaced midshaft clavicle fractures

Objective:To compare the clinical therapeutic effect of bridge combined internal fixation system and locking compression plate internal fixation in the treatment of displaced midshaft clavicle fractures by emphatically observing fracture healing and shoulder joint function.Methods:Totally 44 elderly patients with Robinson type 2B displaced midshaft clavicle fractures were included from the Department of Orthopaedics,Shenyang Fourth People's Hospital during February 2016 and December 2018,including 23 males and 21 females,mean age(69.8±10.2)years old.The patients were divided into a bridge combined internal fixation system group(bridge group,n=22)and a locking compression plate internal fixation group(plate group,n=22)according to the internal fixation methods.The operation time,intraoperative blood loss,fracture healing time,and postoperative complications were recorded.At 12 months after surgery,the shoulder joint Constant-Murley score and DASH score were used to assess the recovery of joint function.The serum levels of bone turnover biochemical markers procollagen I N-terminal peptide(P1NP),cross-linked Carboxy-terminal telopeptide of typeⅠcollagen(CTX-I),and osteoblast specific factor(OSF)were measured before and 3 months after surgery.Results:The operation time,intraoperative blood loss and fracture healing time of the bridge group were significantly shorter than those of the plate group(P<0.05).Constant scores and DASH scores in the bridge group were significantly better than those of the plate group at 12 months after surgery(P<0.05).Serum levels of CTX-I was significantly decreased,while the P1NP and OSF were significantly increased compared with before surgery in the both groups(P<0.05),and the changes were more obvious in the bridge group(P<0.05).The incidence of complications was similar between the two groups(P<0.05).Conclusion:Compared with the locking plate system,the bridge combined internal fixation system can effectively improve the operation efficiency,have more benefits on fracture healing,better promote the recovery of patients'function,and reduce the failure rate of internal fixation,thus providing a better choice to treat displaced midshaft clavicle fractures by intraoperative internal fixation.

Effect of Locking Compression Plate on the Treatment of Limb Fracture and the Effect of Operative Success Rate and Postoperative Recovery Time

Objective:To analyze the effect of locking compression plate on the success rate of operation and the time of postoperative recovery.Methods:120 patients with limb fractures from March 2018 to March 2020 were randomly divided into control group(60 cases)and observation group(60 cases).The control group was treated with plate screw internal fixation,The observation group used locking compression plate internal fixation,Compare the effect of treatment,the success rate of operation and the time of postoperative recovery.results:compared the effective rate of the two groups,the observation group(93.33%)was significantly higher than the control group(75.00%).Compared with the two groups,the success rate of operation and the time of postoperative recovery,the observed composition power was higher than that of the control group,and the postoperative recovery time was lower than that of the control group,P<0.05.Conclusion:The use of locking compression plate for the treatment of limb fracture can significantly increase the probability of successful operation,shorten the recovery time after operation,the overall curative effect is ideal,and the clinical popularization value is high.

Postoperative Fracture Healing Effects of Locking Compression Plate for the Treatment of Limb Fractures

Objectives To study the effects of applying locking compression plates in the treatment of patients with limb fractures on postoperative fracture healing.Methods:115 patients with limb fractures who were treated in our hospital from November 2019 to November 2020 were selected.In order to study the effective treatment method,the random-number table method was used in this study to divide the patients into two groups,namely the experimental group and the control group,and the locking compression plate treatment method and the pure plate and screw internal fixation treatment method were administered respectively to study their clinical application effects.Results:Compared with the control group,patients in the experimental group had a lower incidence of complications,shorter hospitalizations and shorter recovery time.Meanwhile,the experimental group had a better quality of recovery,and all data were significantly different from those of the control group,P<0.05,the intervention effect of the experimental group was better.Conclusion:The application of the locking compression plate in the treatment of patients with limb fractures is more conducive to promoting the postoperative healing of the patients'fractures,reducing the incidence of postoperative complications,and promoting the rapid recovery of patients,which has positive significance for clinical development.

双切口双钢板内固定术对Schatzker V型胫骨平台骨折患者骨折愈合及关节稳定性的影响

目的探讨双切口双钢板内固定术对Schatzker V型胫骨平台骨折患者骨折愈合及关节稳定性的影响。方法回顾性分析2020年1月—2022年12月日照市人民医院收治的60例Schatzker V型胫骨平台骨折患者的临床资料,按手术方式不同将双切口双钢板内固定术治疗的30例患者设为观察组,将单侧锁定钢板固定术治疗的30例患者设为对照组。比较两组手术相关指标、膝关节功能、关节稳定性、日常生活能力、平衡能力、生活质量及并发症。结果两组患者手术时间、切口长度、术后住院时间比较,差异无统计学意义(P>0.05);观察组患者术中出血量、术后引流量多于对照组,骨折愈合时间短于对照组,差异有统计学意义(P<0.05);观察组患者术后3个月骨关节炎指数(WOMAC)中日常生活、疼痛、关节畸形及总分均低于对照组,差异有统计学意义(P<0.05);观察组患者术后3个月胫骨平台内翻角(TPA)、胫骨平台后倾角(PA)低于对照组(P<0.05);观察组患者术后3个月Barthel指数(BI)评分、Berg平衡量表(BBS)评分高于对照组,差异有统计学意义(P<0.05);观察组患者术后3个月世界卫生组织生活简易量表(WHOQOL-BREF)中生理、心理、社会及环境领域评分高于对照组,差异有统计学意义(P<0.05);两组并发症发生率比较,差异无统计学意义(P>0.05)。结论双切口双钢板内固定术治疗Schatzker V型胫骨平台骨折效果更佳,可提高关节稳定性,缩短骨折愈合时间,增强日常活动能力,安全可靠。

锁定钢板联合皮质螺钉内固定治疗踝关节骨折伴下胫腓分离对踝关节功能及生活质量的影响

目的 探讨锁定钢板联合皮质螺钉内固定治疗踝关节骨折伴下胫腓分离对踝关节功能及生活质量的影响。方法 2020年5月~2021年12月我院收治的踝关节骨折伴下胫腓分离病人120例,依据随机数字表法将其分为对照组和观察组,每组各60例。对照组采用单纯皮质螺钉固定治疗,观察组采用锁定钢板联合皮质螺钉内固定治疗。术前、术后6个月对两组恢复功能对比,比较X线片、手术时间、愈合时间、术中失血量,术后并发症,生活能力(BI)评估两组病人生活能力。依照美国足踝外科协会评分系统评估病人踝关节功能。结果 术前两组病人关节功能无差异(P>0.05),术后,对照组最远行走评分(15.89±0.85)分、足部对线评分(15.06±0.71)分、疼痛反应评分(29.03±4.48)分、地面行走评分(15.65±0.59)分;观察组分别为(16.19±0.87)分、(15.29±0.76)分、(31.24±4.55)分、(15.96±0.68)分。观察组最远行走、足部对线、疼痛反应、地面步行高于对照组,差异有统计学意义(P<0.05)。与对照组比较,观察组术中出血量少,愈合时间较短,差异有统计学意义(P<0.05)。术前两组BI指数比较,差异无统计学意义(P>0.05);观察组术后BI指数高于对照组,两组比较,差异有统计学意义(P<0.05)。两组并发症总发生率比较无差异(P>0.05)。结论 锁定钢板联合皮质螺钉内固定技术治疗踝关节骨折合并下胫腓分离,可改善踝关节功能,降低术中出血量,促进愈合,提高生活能力。

两种切口钢板内固定治疗胫骨平台骨折的疗效比较

目的比较两种切口钢板内固定治疗胫骨平台骨折的疗效。方法将108例胫骨平台骨折患者按照切口不同分为观察组(采用微创切口钢板内固定治疗,54例)和对照组(采用传统切开复位钢板内固定治疗,54例)。记录两组切口长度、住院时间、骨痂形成时间、骨折愈合时间、开始部分负重行走时间、并发症发生情况、膝关节活动度、膝关节功能优良率。结果患者均获得随访,时间12~18个月。切口长度、住院时间、骨痂形成时间、骨折愈合时间、开始部分负重行走时间观察组均短(早)于对照组(P<0.05)。术后6个月,膝关节功能优良率观察组高于对照组(P<0.01),膝关节屈曲、伸直活动度观察组均优于对照组(P<0.05)。术后并发症发生率观察组低于对照组(P<0.05)。结论与传统切开复位钢板内固定相比,微创切口钢板内固定治疗胫骨平台骨折具有创伤小、住院时间短、并发症发生率低的优点,更利于骨折愈合、患者早期功能锻炼及膝关节功能的恢复。

微创经皮钢板内固定技术在锁骨中段粉碎性骨折锁定钢板固定术中应用

目的 探讨微创经皮钢板内固定(MIPPO)技术在锁骨中段粉碎性骨折锁定钢板固定术中的应用价值。方法 回顾性选取2020年6月—2022年6月130例锁骨中段粉碎性骨折的临床资料,根据手术方法分为观察组和对照组,每组65例。对照组行传统切开复位内固定,观察组行MIPPO技术联合锁定钢板治疗。比较2组围术期指标、并发症、手术优良率及手术前后疼痛应激介质、肩关节功能指标。结果 观察组切口长度、骨折愈合时间短于对照组,术中出血量少于对照组,术后1 d疼痛视觉模拟评分法评分低于对照组(P<0.01)。术后1 d,观察组血清P物质、前列腺素E_(2)低于对照组,β内啡肽高于对照组(P<0.05);术后3、6个月,观察组Constant-Murley肩关节功能评分及肩关节前屈、后伸、外旋活动度高于对照组(P<0.05)。观察组并发症总发生率低于对照组,术后6个月手术优良率高于对照组(P<0.05)。结论 MIPPO技术联合锁定钢板治疗锁骨中段粉碎性骨折能显著提高手术优良率,减少术中出血量,促进肩关节功能恢复,抑制疼痛因子释放,缓解术后早期疼痛,还能降低并发症风险。

两种内固定术式治疗高龄无移位型股骨颈骨折的疗效

目的比较股骨近端锁定接骨板与空心螺钉内固定治疗高龄无移位型股骨颈骨折的疗效。方法根据内固定不同将66例高龄无移位型股骨颈骨折患者分为接骨板组(32例,采用股骨近端锁定接骨板内固定治疗)和螺钉组(34例,采用空心螺钉内固定治疗)。记录两组手术情况、骨折愈合时间、髋关节Harris评分、术后并发症发生情况。结果患者均获得随访,时间6~95个月。手术时间、切口长度、术中出血量、术后血红蛋白下降量两组比较差异均无统计学意义(P>0.05),下床部分负重锻炼时间接骨板组早于螺钉组(P<0.05)。接骨板组骨折均顺利愈合,时间3.5~8.0(4.63±1.04)个月;螺钉组中出现1例骨折不愈合,其余33例骨折愈合时间为3.0~7.5(5.03±1.04)个月;骨折愈合时间两组比较差异无统计学意义(P>0.05)。术后6个月髋关节Harris评分两组比较差异无统计学意义(P>0.05);但髋关节Harris评分优良率接骨板组高于螺钉组(P<0.05)。术后早期并发症发生率两组比较差异无统计学意义(P>0.05),中远期并发症发生率螺钉组高于接骨板组(P<0.05)。结论股骨近端锁定接骨板与空心螺钉内固定治疗高龄无移位型股骨颈骨折均可获得满意疗效,与空心螺钉相比,股骨近端锁定接骨板治疗早期髋关节功能恢复更好,中远期并发症更少。

经三角肌入路微型锁定钢板内固定治疗肱骨大结节骨折

2019年8月~2021年3月,我科采用经三角肌入路微型锁定钢板内固定治疗16例肱骨大结节骨折患者,效果满意,报道如下。1材料与方法1.1病例资料本组16例,男10例,女6例,年龄19~58岁。均为新鲜闭合损伤。依据Neer分型均为二部分骨折。伤后至手术时间3~8 d。

锁定钢板结合空心加压螺钉内固定治疗Hoffa骨折

2006年3月～2010年6月,我科对11例Hoffa骨折患者采用空心加压螺钉结合锁定钢板固定治疗,疗效满意。1材料与方法1.1病例资料本组11例,男7例,女4例,年龄30～52岁。内侧髁4例,外侧7例。合并伤：膝内侧副韧带损伤3例,前交叉韧带胫骨棘止点撕脱1例。均为闭合性损伤,无血管神经损伤。

两种内固定术治疗踝关节骨折的疗效比较

目的比较锁定钢板联合空心拉力螺钉与非锁定钢板联合普通螺钉内固定治疗踝关节骨折的疗效。方法将70例踝关节骨折患者根据治疗方法不同分为观察组(采用锁定钢板联合空心拉力螺钉内固定治疗,35例)和对照组(采用非锁定钢板联合普通螺钉内固定治疗,35例)。比较两组手术情况、骨折愈合情况、踝关节活动度、踝关节功能及并发症发生情况。结果患者均获得6个月随访。手术时间、住院时间、骨折愈合时间观察组均短(少)于对照组(P<0.05)。术中出血量、骨折愈合质量评分系统(RUSS评分)两组比较差异均无统计学意义(P>0.05)。术后3个月踝关节跖屈、背伸、内翻、外翻活动度观察组均大于对照组(P<0.05)。足部力线、地面步行、疼痛、最大步行距离评分:两组术后6个月均较术后3个月提高(P<0.05),术后3、6个月观察组均高于对照组(P<0.05)。并发症发生率观察组低于对照组(P<0.05)。结论与非锁定钢板联合普通螺钉相比,锁定钢板联合空心拉力螺钉内固定治疗踝关节骨折手术时间、住院时间、骨折愈合时间均较短,踝关节功能恢复较好,并发症较少。

带锁髓内钉与锁定钢板内固定术治疗肱骨近端Neer二部分骨折患者的效果比较

目的:比较带锁髓内钉与锁定钢板内固定术治疗肱骨近端Neer二部分骨折患者的效果。方法:选取2021年2月至2022年2月该院收治的64例肱骨近端Neer二部分骨折患者进行前瞻性研究,按照随机数字表法将其分为观察组与对照组各32例。对照组采用锁定钢板内固定术治疗,观察组采用带锁髓内钉内固定术治疗,比较两组手术时间、术中出血量、住院时间、骨性愈合时间、ConstantMurley肩关节功能评分量表(CMS)评分、健康调查简表(SF-36)评分和并发症发生率。结果:观察组术中出血量少于对照组,住院时间和骨性愈合时间短于对照组,差异均有统计学意义(P<0.05);术后6个月,两组SF-36各维度评分高于术前,且观察组高于对照组,差异均有统计学意义(P<0.05);观察组并发症发生率为3.12%,明显低于对照组的25.00%,差异有统计学意义(P<0.05);两组手术时间和手术前后CMS评分比较,差异无统计学意义(P>0.05)。结论:带锁髓内钉内固定术治疗肱骨近端Neer二部分骨折患者可提高术后SF-36评分,缩短住院时间和骨性愈合时间,以及降低术中出血量和并发症发生率,效果优于锁定钢板内固定术治疗。

改良八字入路钢板内固定对跟骨骨折患者的影响

目的:探讨改良八字入路钢板内固定对跟骨骨折患者的影响。方法:选取2020年3月—2022年6月晋江市医院晋南分院骨科收治的62例跟骨骨折患者。随机将其分为“L”形切口组和改良八字组,各31例。“L”形切口组给予“L”形切口内固定术治疗,改良八字组给予改良八字入路钢板内固定治疗。比较两组围手术期指标,术前和术后6周影像学指标,术后6周足部功能及相关指标,并发症。结果:改良八字组手术时间和下床时间均短于“L”形切口组,术中出血量少于“L”形切口组,差异有统计学意义(P<0.05)。术后6周,两组Bohler角、Gissane角均上升,改良八字组Bohler角、Gissane角均大于“L”形切口组,差异有统计学意义(P<0.05)。改良八字组足部功能改善率高于“L”形切口组,差异有统计学意义(P<0.05)。术后6周,改良八字组骨折愈合评分高于“L”形切口组,骨折愈合时间短于“L”形切口组,差异有统计学意义(P<0.05)。两组并发症发生率比较,差异无统计学意义(P>0.05)。结论:改良八字入路钢板内固定能够降低患者术中风险,促进患者术后恢复,提高患者治疗效果,改善患者足部功能。

不同入路内固定在老年SandersⅢ型跟骨骨折中的应用及对骨折复位、疼痛介质的影响

目的对比不同入路内固定在老年SandersⅢ型跟骨骨折中的应用及对患者骨折复位、疼痛介质的影响。方法选取2019年3月-2022年9月确诊的老年SandersⅢ型跟骨骨折患者80例,依据随机数字表法分成跗骨窦组、传统组,各40例。其中传统组行L形切口入路钢板内固定,跗骨窦组行跗骨窦“八”字切口入路钢板内固定。对比两组围术期指标、并发症状况、跟骨恢复效果以及围术期疼痛介质[P物质(SP)、前列腺素E2(PGE2)、5-羟色胺(5-HT)]、骨折复位状况(跟骨高度、Bohler角、Gissane角)。结果跗骨窦组住院时间与术中出血量均少于传统组(P<0.05);术后6个月,跗骨窦组、传统组跟骨恢复效果对比,差异无统计学意义(P>0.05);两组术后3个月、6个月跟骨高度、Bohler角、Gissane角均高于术前(P<0.05);跗骨窦组术后24 h、72 h血清SP、PGE2、5-HT水平均低于传统组(P<0.05);跗骨窦组并发症发生率明显低于传统组(P<0.05)。结论跗骨窦“八”字切口入路钢板内固定治疗老年SandersⅢ型跟骨骨折,可促进跟骨功能恢复,缓解术后疼痛,减少并发症发生。

肱骨近端锁定内固定系统钢板治疗肱骨近端骨折肱骨头螺钉的分布特点

背景:肱骨近端锁定内固定系统钢板是肱骨近端骨折最常用的固定方式,但临床上其失败率仍较高,螺钉的合理置入是影响内固定稳定性的重要因素。目的:探讨在肱骨近端锁定内固定系统钢板治疗肱骨近端骨折中肱骨头螺钉的分布特点及对内固定失效的影响。方法:对2017年1月至2021年12月在广州中医药大学第三附属医院收治的采用肱骨近端锁定内固定系统钢板内固定治疗的老年肱骨近端骨折患者进行回顾性分析,共纳入124例,其中男16例,女108例,年龄≥60岁,根据其术后是否出现内固定失效分为正常组(101例)和内固定失效组(23例)。收集患者年龄、性别、骨折类型、内侧柱完整性、钢板高度、颈干角、是否置入肱骨距螺钉、肱骨头螺钉数量,并根据术后数字X射线摄影正位片将肱骨头分为8个区,收集患者肱骨头螺钉在各区螺钉分布特点,绘制螺钉分布热力图。结果与结论:①两组患者在年龄、性别、骨折类型、内侧柱完整性、钢板高度、颈干角、是否置入肱骨距螺钉、肱骨头螺钉数量方面均无统计学差异(P>0.05);②但热力图显示,在正常组中肱骨头螺钉分布均匀,主要分散在4,6,7区;而内固定失效组的螺钉分布不均匀,主要集中在4,6区;此外,在肱骨距螺钉理想区域(7/8区)中,正常组螺钉明显多于内固定失效组;③提示在肱骨近端锁定内固定系统钢板治疗肱骨近端骨折过程中,肱骨头螺钉均匀分布是保证内固定效果的关键,合理的肱骨头螺钉分布有助于提高治疗效果和内固定成功率。

锁定钢板联合拉力螺钉内固定术与非锁定钢板内固定术对踝关节骨折合并下胫腓分离患者预后的影响

目的:探究锁定钢板结合拉力螺钉内固定术对踝关节骨折合并下胫腓分离患者预后的影响。方法:回顾性分析176例踝关节骨折合并下胫腓分离患者的临床资料。将176例患者按术式不同分为对照组(n=74)与观察组(n=102),比较两组患者手术相关指标、炎症因子水平、骨代谢情况、关节功能及并发症发生情况。结果:观察组患者手术、住院及骨折愈合时间均短于对照组(P<0.05);术后3 d及1周,观察组白细胞介素6、白细胞介素8、去甲肾上腺素、C反应蛋白水平均低于对照组(P<0.05);术后3、6个月,观察组患者骨碱性磷酸酶、血清骨钙素均高于对照组(P<0.05),β-胶原降解产物低于对照组(P<0.05);术后6个月,观察组关节功能各维度得分均高于对照组(P<0.05),并发症发生率低于对照组(P<0.05)。结论:对于踝关节骨折并伴有下胫腓分离患者而言,锁定钢板与拉力螺钉内固定术结合使用,更能降低炎症因子水平,增强骨代谢能力,提升关节功能,减少并发症的发生几率,有利于促进恢复和改善预后,具有临床应用价值。

微创海马钢板内固定治疗跟骨骨折并发症的影响因素

目的探讨跗骨窦切口海马钢板内固定治疗Sanders Ⅱ、Ⅲ型跟骨骨折术后并发症的影响因素。方法回顾性分析自2021年01月至2022年4月跗骨窦切口海马型钢板内固定治疗的85例Sanders Ⅱ、Ⅲ型跟骨骨折患者。跟据术后并发症情况,将所有患者分为并发症组与无并发症组。根据患者临床结局分为两组:并发症组和非并发症组。非并发症组定义为术后6个月内恢复到基线功能,能正常工作和日常活动,无持续镇痛药需求。并发症组定义为,骨折并发症需再住院治疗,使用助行器和持续镇痛药物。应用单因素以及多因素方法分析跗骨窦切口海马钢板内固定治疗跟Sanders Ⅱ、Ⅲ型骨骨折并发症的危险因素。结果多因素Logistic回归分析指出骨折至手术时间、Sander Ⅲ型、术后Bohler角、DVBA是并发症发生的独立危险因素。年龄与术后并发症发生无关。结论临床医师应警惕Sander Ⅲ型、术后Bohler角恢复不佳、骨折至手术时间长的跟骨骨折患者出现术后并发症。