改良跗骨窦切口与传统L型切口内固定对跟骨骨折患者预后及功能恢复的影响  

Effect of modified tarsal sinus incision and traditional L-shaped incision internal fixation on the prognosis and functional recovery of calcaneal fracture patients

作　　者：张茂林 ZHANG Maolin(Department of Orthopedics,the Fourth Affiliated Hospital of Guangzhou Medical University,Guangdong Province,Guangzhou511316,China)

机构地区：[1]广州医科大学附属第四医院骨科,广东广州511316

出　　处：《中国当代医药》2023年第11期84-87,共4页China Modern Medicine

摘　　要：目的探讨改良跗骨窦切口与传统L型切口内固定对跟骨骨折患者预后及功能恢复的影响。方法选择2019年1月至2022年2月广州医科大学附属第四医院接诊的60例跟骨骨折患者为研究对象,按随机数字表法分为对照组(30例)与治疗组(30例)。治疗组行改良跗骨窦切口术治疗,对照组行传统L型切口内固定术。比较两组患者的骨折愈合时间、住院时间、手术时间及术中出血量;比较两组患者的患足功能;比较两组患者手术前后的跟骨宽度、Gissane角及Bohler角;比较两组患者的并发症总发生率。结果治疗组骨折愈合时间、住院时间、手术时间短于对照组,术中出血量少于对照组,差异有统计学意义(P<0.05)。治疗组患足功能优良率低于对照组,差异有统计学意义(P<0.05)。术后两组Bohler角大于术前,Gissane角、跟骨宽度均小于术前,而术后治疗组跟骨宽度、Gissane角小于对照组,Bohler角大于对照组的,差异有统计学意义(P<0.05)。治疗组并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论传统L型切口内固定相比,采用改良跗骨窦切口治疗跟骨骨折可减小手术创伤,减少并发症,缩短骨折愈合时间、住院时间,促进功能恢复,改善预后。Objective To investigate the effect of modified tarsal sinus incision and traditional L-shaped incision on the prognosis and functional recovery of calcaneal fracture patients.Methods A total of 60 patients with calcaneal fracture who were admitted to the Fourth Affiliated Hospital of Guangzhou Medical University from January 2019 to February 2022 were selected as the research objects.They were divided into the control group(30 cases)and the treatment group(30 cases)according to the random number table method.Patients in the treatment group were treated with modified tarsal sinus incision,and patients in the control group were treated with traditional L-shaped incision internal fixation.The fracture healing time,hospitalization time,operation time and intraoperative blood loss were compared between the two groups.The function of affected foot was compared between the two groups.The calcaneus width,Gissane angle and Bohler angle of the two groups were compared before and after operation.The total incidence of complications was compared between the two groups.Results The fracture healing time,hospitalization time and operation time of the treatment group were shorter than those of the control group,and the amount of intraoperative bleeding was less than that of the control group,with a statistically significant difference(P<0.05).The excellent and good rate of foot function in the treatment group was lower than that in the control group,with a statistically significant difference(P<0.05).After operation,Bohler angle in both groups was higher than before operation,Gissane angle and calcaneus width were lower than before operation,while calcaneus width and Gissane angle in the treatment group were lower than those in the control group,Bohler angle was higher than that in the control group,the differences were statistically significant(P<0.05).The incidence of complications in the treatment group was lower than that in the control group,with a statistically significant difference(P<0.05).Conclusion Compared with the t

关 键 词：跟骨骨折 改良跗骨窦切口 患足功能 传统L型切口内固定 

分 类 号：R615[医药卫生—外科学]