经跗骨窦入路微创锁定钢板治疗跟骨关节内骨折的效果分析  

Comparative Study on Curative Effect of Minimally Invasive Locking Steel Plate Treatment for Intra-Articular Calcaneal Fractures Through Tarsal Sinus Approach

作　　者：赵刚 ZHAO Gang(Orthopedics Department,Lianshui County Traditional Chinese Medicine Hospital,Lianshui,Jiangsu 223400)

机构地区：[1]涟水县中医院骨科,江苏涟水223400

出　　处：《智慧健康》2024年第16期47-49,共3页Smart Healthcare

摘　　要：目的探讨经跗骨窦入路微创锁定钢板治疗跟骨关节内骨折的临床效果。方法选择2021年2月—2023年2月本院收治的跟骨关节内骨折患者68例为研究对象,根据治疗方案差异分为对照组(n=33,采取传统解剖锁定钢板治疗)与观察组(n=35,采取经跗骨窦入路微创锁定钢板治疗),比较两组手术及术后恢复指标,评估患者术前、术后跟骨影像学检查情况,并比较并发症发生率。结果观察组手术时间、出血量、切口长度、术后引流量、骨折愈合时间、医疗成本均小于对照组(P<0.05)。观察组术后1周及末次随访时Bohler角°、GIssane角、宽度、高度与对照组无显著差异(P>0.05)。观察组并发症率低于对照组(P<0.05)。结论跟骨关节内骨折采取经跗骨窦入路微创锁定钢板治疗对患者损伤小,患者术后康复快,医疗成本低,跟骨结构恢复良好,并发症发生风险低。Objective To explore clinical effect of minimally invasive locking plate treatment for intra-articular calcaneal fractures through tarsal sinus approach.Methods The paper chose 68 patients with intra-articular calcaneal fractures in our hospital from February 2021 to February 2023 as study subjects,and divided them into control group(n=33,treated with traditional anatomical locking steel plates)and observation group(n=35,treated with minimally invasive locking steel plates through the tarsal sinus approach)based on difference in treatment plans.Surgical and postoperative recovery indicators were compared between two groups,preoperative imaging examination of calcaneus of patients was evaluated,incidence of complications was compared.Results Operation time,bleeding volume,incision length,postoperative drainage volume,fracture healing time,and medical cost in observation group was lower than control group(P<0.05).There was no significant difference in Bohler angle,GIssane angle,width,and height between observation group and control group at one week after surgery and the last follow-up(P>0.05).Incidence of complications in observation group was lower than control group(P<0.05).Conclusion Minimally invasive locking steel plate treatment through tarsal sinus approach has advantages of minimal injury,fast postoperative recovery,low medical costs,good calcaneal structure recovery,and low risk of complications for patients with intra-articular calcaneal fractures.

关 键 词：跗骨窦入路 微创锁定钢板 跟骨 关节内骨折 并发症 

分 类 号：R687.3[医药卫生—骨科学]