经跗骨窦切口内固定术治疗跟骨骨折的疗效  

Effect of Transtarsal Sinus Incision Internal Fixation in the Treatment of Calcaneal Fractur

作　　者：张振清[1] ZHANG Zhenqing(Department of Orthopaedics, Huaiyin Hospital, Huaian Jiangsu 223300, China)

机构地区：[1]江苏省淮安市淮阴医院骨科

出　　处：《中国继续医学教育》2019年第30期116-118,共3页China Continuing Medical Education

摘　　要：目的分析SandersII、Ⅲ型跟骨骨折经跗骨窦切口内固定术治疗的临床疗效。方法随机将我院2016 年5 月—2017 年8 月收治的84 例Sanders Ⅱ、Ⅲ型跟骨骨折患者分为两组,将采用传统跟骨外侧L 型切口内固定术治疗的患者归为对照组,采用经跗骨窦切口内固定术治疗的患者归为观察组,对比两组手术时间、住院时间、愈合时间、并发症发生情况。结果观察组手术时间长于对照组,差异有统计学意义(P < 0.05);两组住院时间、骨折愈合时间对比,差异无统计学意义(P > 0.05);观察组并发症发生率为4.65%,低于对照组的24.39%,差异有统计学意义(P < 0.05)。结论Sanders Ⅱ、Ⅲ型跟骨骨折经跗骨窦切口内固定术治疗的临床疗效显著,安全性高。Objective To analyze the clinical effect of Sanders Ⅱ,Ⅲ calcaneal fracture treated by transtarsal sinus incision internal fixation. Methods From May 2016 to August 2017, 84 patients with Sanders Ⅱ,Ⅲ calcaneal fracture were randomly divided into two groups. The patients treated with traditional L-shaped incision internal fixation of lateral calcaneus were divided into control group. The patients treated by transtarsal sinus incision internal fixation were divided into observation group. The operation time, hospital stay, healing time. Results The operation time in observation group was longer than that in control group (P < 0.05). There was no significant difference in hospitalization time and fracture healing time between the two groups (P > 0.05). The incidence of complications in the observation group was 4.65%, which was significantly lower than that in the control group (24.39%)(P < 0.05). Conclusion Sanders Ⅱ,Ⅲ calcaneal fracture is safe and effective in the treatment of calcaneal fracture through tarsal sinus incision.

关 键 词：SANDERS Ⅱ、Ⅲ型 跟骨骨折 经跗骨窦切口内固定术 传统跟骨外侧的L型切口内固定术 手术切口 并发症 

分 类 号：R687[医药卫生—骨科学]