跗骨窦入路与外侧L形入路切开复位内固定术治疗跟骨骨折患者的效果比较  

Comparison of effects of open reduction and internal fixation through tarsal sinus approach and lateral L-shaped approach in t treatment of calcaneal fractures

作　　者：韩金恒 HAN Jinheng(Department of Orthopedics of Renhe Traditional Chinese Medicine Hospital,Shangqiu 476000 Henan,China)

机构地区：[1]商丘市仁和中医院骨科,河南商丘476000

出　　处：《中国民康医学》2023年第8期135-137,141,共4页Medical Journal of Chinese People’s Health

摘　　要：目的:比较跗骨窦入路与外侧L形入路切开复位内固定术(ORIF)治疗跟骨骨折患者的效果。方法:选取2018年1月至2020年8月该院收治的70例跟骨骨折患者进行前瞻性研究,按随机数字表法将其分为对照组和观察组各35例。观察组采用跗骨窦入路ORIF治疗,对照组采用外侧L形入路ORIF治疗。比较两组术中出血量、手术时间、住院时间、切口愈合时间,随访6个月时足部功能优良率,手术前后跟骨结节关节角(Bohler角)与跟骨交叉角(Gissane角),以及并发症发生率。结果:观察组住院时间短于对照组,术中出血量少于对照组,差异均有统计学意义(P<0.05);两组手术时间、切口愈合时间比较,差异均无统计学意义(P>0.05);术后随访6个月,两组足部功能优良率比较,差异无统计学意义(P>0.05);术后,两组Bohler角均大于术前,Gissane角均小于术前,差异有统计学意义(P<0.05),但组间比较,差异均无统计学意义(P>0.05);两组并发症发生率比较,差异无统计学意义(P>0.05)。结论:跗骨窦入路与外侧L形入路ORIF治疗跟骨骨折患者的效果相当,但跗骨窦入路ORIF治疗可缩短住院时间,减少术中出血量。Objective:To compare effects of open reduction and internal fixation(ORIF)through tarsal sinus approach and lateral L-shaped approach in treatment of calcaneal fractures.Methods:A prospective study was conducted on 70 patients with calcaneal fractures admitted to the hospital from January 2018 to August 2020.They were divided into control group and observation group by using the random number table method,35 patients in each group.The observation group received ORIF through the tarsal sinus approach,while the control group received ORIF treatment through the lateral L-shaped approach.The intraoperative blood loss,the operation time,the hospitalization time,and the incision healing time were compared between the two groups.At 6 months of follow-up,the excellent and good foot function rate and the levels of the Bohler angle and the Gissane angle before and after the surgery,and the incidence of complications were also compared.Results:The hospitalization time of the observation group was shorter than that of the control group,the intraoperative bleeding was less than that of the control group,and the differences were statistically significant(P<0.05).There were no statistically significant differences in the operation time and the incision healing time between the two groups(P>0.05).After 6 months of follow-up,there was no statistically significant difference in the excellent and good rate of foot function between the two groups(P>0.05).After the surgery,the Bohler angles of both groups were greater than those before the surgery,while the Gissane angles were smaller than those before the surgery,and the differences were statistically significant(P<0.05);However,there was no statistically significant difference between groups(P>0.05).There was no statistically significant difference in the incidence of complications between the two groups(P>0.05).Conclusions:The effects of ORIF through the tarsal sinus approach are comparable to that through the lateral L-shaped approach in the treatment of the patients with calcane

关 键 词：跟骨骨折 跗骨窦入路 外侧L形入路 切开复位内固定术 足部功能 跟骨结节关节角 跟骨交叉角 并发症 

分 类 号：R683[医药卫生—骨科学]