经跗骨窦小切口空心钉内固定术治疗跟骨骨折近期疗效分析  

作　　者：胡绿洲 潘立群 周建双[1] 

机构地区：[1]浙江省嵊州市中医院,312400

出　　处：《浙江临床医学》2020年第1期70-72,共3页Zhejiang Clinical Medical Journal

摘　　要：目的探讨经跗骨窦小切口空心钉内固定术治疗跟骨骨折患者的近期疗效及安全性.方法回顾性分析2014年11月至2016年11月接受内固定手术治疗的94例跟骨骨折患者临床资料,经跗骨窦小切口空心钉内固定术治疗的患者48例为观察组,经外侧"L"形切口钢板内固定术治疗的患者46例为对照组.比较两组手术情况、术后骨折愈合时间、并发症发生率及术后1年足踝功能恢复优良率,并比较两组术前、术后即刻Gissane角、Bohler角与术前、术后1年日常生活能力评分(BI)、生活质量评分(SF-36)情况.结果两组术后骨折愈合时间比较,差异无统计学意义(P>0.05),与对照组比较,观察组手术用时、住院时间较短,术中出血量较低(P<0.05);观察组术后并发症发生率(8.33%)低于对照组(23.91%)(P<0.05);两组术前Gissane角、Bohler角比较,差异无统计学意义(P>0.05),术后即刻两组Gissane角、Bohler角均较术前提高(P<0.05),组间比较差异无统计学意义(P>0.05);术后1年,两组BI与SF-36分值均较术前提高,且观察组高于对照组(P<0.05);观察组足踝功能恢复优良率(91.67%)高于对照组(73.91%)(P<0.05).结论经跗骨窦小切口空心钉内固定术治疗跟骨骨折患者可显著减轻手术创伤,促进足踝功能恢复,减少并发症发生,提高患者日常生活能力及生活质量.Objective To investigate the short term follow-up results and safety of patients with calcaneal fracture treated by small-incision hollow nail internal fixation through the tarsal sinus.Methods The clinical data of 94 cases of calcaneal fracture treated by internal fixation in our hospital from November 2014 to November 2016 were analyzed retrospectively.Forty-eight patients with small-incision hollow nail internal fixation through the tarsal sinus were taken as observation group,and 46 patients with lateral L shaped incision and plate internal fixation were taken as control group.The operation situation,the healing time of the fracture,the incidence of complications and the good rate of the functional recovery of the ankle after 1 year of operation of two groups were compared.The Gissane angle and Bohler angle before and immediately after operation,the daily living ability score(BI)and quality of life score(SF-36)before and after 1 year of operation of two groups were compared.Results There were insignificant differences in the fracture healing time between the two groups(P>0.05).But compared with the control group,the operation time,the hospitalization time of the observation group were shorter,and the amount of bleeding during the operation was lower(P<0.05).The incidence of postoperative complications in the observation group(8.33%)was lower than that of the control group(23.91%)(P<0.05).There were insignificant differences between the two groups in Gissane angle and Bohler angle before operation(P>0.05).The Gissane angle and Bohler angle in two groups immediately after the operation were higher than those before the operation(P<0.05).There were insignificant differences between groups(P>0.05).The scores of BI and SF-36 in 1 year after the operation were higher than those before the operation,and the observation group was higher than the control group(P<0.05).After 1 year of operation,the good rate of ankle function recovery in the observation group(91.67%)was higher than that of the control group(73.91%)(P<0

关 键 词：跟骨骨折 经跗骨窦小切口空心钉内固定术 足踝功能 并发症 

分 类 号：R47[医药卫生—护理学]