跟骨外侧不同切口钢板内固定治疗青少年跟骨骨折的疗效对比  

Effect of internal fixation with different incisions via lateral approach on adolescents with calcaneal fracture

作　　者：景小博[1] 程富礼[1] Jing Xiaobo;Cheng Fuli(Department of Pediatric Orthopedics,Zhengzhou Orthopaedics Hospital,Zhengzhou 450000,China)

机构地区：[1]郑州市骨科医院小儿骨科,450052

出　　处：《中国实用医刊》2020年第23期82-86,共5页Chinese Journal of Practical Medicine

摘　　要：目的探讨青少年跟骨骨折患者经不同切口钢板内固定治疗的效果,以指导跟骨骨折患者手术方案的优化。方法抽取郑州市骨科医院2019年1月至2020年5月收治的青少年跟骨骨折患者80例,根据随机数字表法将患者分为对照组和研究组,每组40例。对照组行传统L型切口钢板内固定术,研究组行跗骨窦切口联合跟腱旁纵行切口钢板内固定术。记录并比较两组患者的手术及恢复相关情况。术前及术后1、3个月,检测并比较两组跟骨解剖数据。术后3个月,比较两组足功能恢复情况;比较两组术后相关并发症发生情况。结果术后3个月,两组足部功能恢复优良率相近(P>0.05)。研究组术中出血量较少,手术时间、切口愈合时间、住院时间及骨折愈合时间均短于对照组(P均<0.05)。术后1、3个月,研究组Bohler角、Gissane角、跟骨高度均高于对照组,跟骨宽度小于对照组(P<0.05);研究组术后并发症发生率(5.00%,2/40)低于对照组(22.50%,9/40),P<0.05。结论跗骨窦切口联合跟腱旁纵行切口钢板内固定术与传统L型切口钢板内固定术治疗青少年跟骨骨折疗效相近,但前者手术时间、切口愈合时间及骨折愈合时间较短,且术后跟骨生理解剖结构恢复情况更好,患者整体获益较理想。Objective To investigate the therapeutic value of internal fixation with different incisions via lateral approach in the treatment of adolescents with calcaneal fracture,so as to guide the optimization of surgical plans in the future.Methods A total of 80 adolescent patients with calcaneal fractures who were treated in Zhengzhou Orthopaedics Hospital from January 2019 to May 2020 were selected,and they were divided into control group and study group according to the random number table method,with 40 cases in each group.The patients of the control group received the traditional L-shaped incision plate internal fixation.The patients of the study group were treated by the tarsal sinus incision combined with the longitudinal incision next to the Achilles tendon plate internal fixation.The operation and recovery related conditions of the two groups were recorded and compared.Before operation,1 month after operation,and 3 months after operation,the anatomical and physiological data of calcaneus were detected and compared.At 3 months after operation,the recovery of foot function was compared between the two groups.And the incidences of postoperative complications of the two groups were compared.Results After 3 months of operation,the recovery rates of foot function were similar between the two groups(P>0.05).The bleeding amount in the study group was less than that in the control group,and the operation time,incision healing time,hospital stay and fracture healing time were shorter than those in the control group(P<0.05).The Bohler angle,Gissane angle,and calcaneus height in the study group were higher than those in the control group,1 month and 3 months after surgery,and the calcaneus width in the study group was smaller than that in the control group(P<0.05).The incidence of postoperative complications of the study group(5.00%,2/40)was lower than that of the control group(22.50%,9/40),P<0.05.Conclusions For adolescent patients with calcaneal fractures,the surgical efficacy of the tarsal sinus incision combined with t

关 键 词：跟骨骨折 青少年 传统L型切口 跗骨窦切口 跟腱旁纵行切口 钢板内固定术 

分 类 号：R726.8[医药卫生—儿科]