改良跗骨窦锁定钢板联合经皮空心钉内固定对跟骨骨折患者AOFAS评分及并发症的影响  

Effect of modified tarsal sinus locking plate combined with percutaneous hollow nail internal fixation on AOFAS score and complications in patients with calcaneal fractures

作　　者：李新振[1] Li Xinzhen

机构地区：[1]河南省唐河县人民医院骨二科

出　　处：《中国疗养医学》2020年第2期120-122,共3页Chinese Journal of Convalescent Medicine

摘　　要：目的探讨跟骨骨折患者联合应用改良跗骨窦锁定钢板及经皮空心钉内固定治疗对美国足踝学会踝与后足功能(AOFAS)评分及并发症的影响。方法选择2018年1月至2019年1月某院收治的72例跟骨骨折患者,按随机数表法分为两组,各36例。对照组行传统外侧L形切口复位内固定,观察组行改良跗骨窦锁定钢板联合经皮空心钉内固定,比较两组跟骨高度、Gissane角、Bohler角、AOFAS评分及并发症。结果治疗6个月后,观察组跟骨高度、Gissane角、Bohler角、AOFAS评分为(42.64±1.91)mm、(113.42±6.28)°、(32.56±1.10)°、(92.08±4.59)分,对照组为(39.42±1.13)mm、(118.89±6.32)°、(28.08±2.43)°、(87.31±5.87)分,差异有统计学意义(P<0.05);观察组并发症发生率2.78%,低于对照组的22.22%,差异有统计学意义(P<0.05)。结论跟骨骨折患者联合应用改良跗骨窦锁定钢板及经皮空心钉内固定治疗,可有效提高AOFAS评分,改善足部功能,且并发症较少,利于患者转归。Objective To explore the effect of modified tarsal sinus locking plate combined with percutaneous hollow nail internal fixation on American Orthopaedic Foot&Ankle Society(AOFAS)score and complications in patients with calcaneal fractures.Methods A total of 72 patients with calcaneal fractures admitted to a hospital from January 2018 to January 2019 were selected and divided into two groups according to the random number table method,36 cases in each group.The control group underwent conventional lateral L-shape incision reduction and internal fixation,while the observation group underwent modified tarsal sinus locking plate combined with percutaneous hollow nail internal fixation.Calcaneus height,Gissane Angle,Bohler Angle,AOFAS score and complications were compared between the two groups.Results After 6 months of treatment,the calcaneal height,Gissane Angle,Bohler Angle and AOFAS score in the observation group were(42.64±1.91)mm,(113.42±6.28)°,(32.56±1.10)°and(92.08±4.59)points,while those in the control group were(39.42±1.13)mm,(118.89±6.32)°,(28.08±2.43)°and(87.31±5.87)points.The differences were statistically significant(P<0.05).The complication rate of the observation group was 2.78%,lower than that of the control group 22.22%,and the difference was statistically significant(P<0.05).Conclusion Modified tarsal sinus locking plate combined with percutaneous hollow nail internal fixation for patients with calcaneal fracture,can effectively increase the AOFAS score,improve foot function,with less complications,which is conducive to the outcome of patients.

关 键 词：跟骨骨折 改良跗骨窦锁定钢板 经皮空心钉内固定 传统外侧L形切口复位内固定 

分 类 号：R68[医药卫生—骨科学]