不同治疗方式对于跟骨骨折手术情况及预后的影响  

Influence of the Efficacy and Prognosis of Different Methods for Treating Calcaneal Fractures

作　　者：安志辉[1] 陈月[1] 苗洁[1] AN Zhi-hui;CHEN Yue;MIAO Jie(Handan Central Hospital,Handan 056001,China)

机构地区：[1]邯郸市中心医院,邯郸056001

出　　处：《科学技术与工程》2024年第28期12065-12070,共6页Science Technology and Engineering

基　　金：河北省卫生厅科研基金(20200464)。

摘　　要：为研究不同治疗方式对于跟骨骨折手术情况及预后的影响。选择80例跟骨骨折患者为研究对象,根据随机数字分配方法,将他们分成两组。A组采用经皮撬拨手法复位结合有限切开钛板固定术治疗,B组采用足外侧“L”形切口复位内固定术。对两组患者术后并发症等各项指标进行比较。结果表明:两组术前术后Bohler角、跟骨宽度、Gissane角、Maryland足部功能评分比较,差异无统计学差异(P>0.05)。组内比较,两组患者经过治疗后,Bohler、Gissane角和跟骨中部宽度均高于治疗前,差异有统计学意义(P<0.05);两组的治疗时间、术中出血量和术后并发症的发生率均有显著性差异(P<0.05)。在跟骨骨折的治疗中,用两种不同方式进行对比分析,经皮撬拨手法固定治疗方式,能够获得较满意的解剖复位,且稳定性可靠,跗骨窦入路较外侧L形切口入路创伤小,可有效避免皮缘坏死和感染的发生,更有利于提高患者的临床疗效。To investigate the influence of the efficacy and prognosis of different methods for treating calcaneal fractures.80 patients with calcaneal fracture were selected as research objects,and they were divided into two groups according to the random number distribution method.Group A was treated with percutaneous prying reduction combined with limited incision titanium plate fixation,while Group B was treated with external“L”incision reduction and internal fixation on the foot.Compare various indicators such as postoperative complications between the two groups of patients.The results show that There is no statistically significant difference in Bohler angle,calcaneal width,Gissane angle,and Maryland foot function scores between the two groups before and after surgery(P>0.05).Compared within the group,after treatment,the width of Bohler,Gissane angle,and middle part of the calcaneus in the two groups of patients are higher than before treatment,with statistically significant differences(P<0.05).There are significant differences in treatment time,intraoperative bleeding volume,and incidence of postoperative complications between the two groups(P<0.05).In the treatment of calcaneal fractures,two different methods are compared and analyzed.The percutaneous prying and pulling technique fixation treatment can achieve satisfactory anatomical reduction,and is stable and reliable.The tarsal sinus approach has less trauma than the lateral L-shaped incision approach,which can effectively avoid the occurrence of skin edge necrosis and infection,and is more conducive to improving the clinical efficacy of patients.

关 键 词：跟骨骨折 钛板固定 复位内固定 “L”形切口 

分 类 号：R683.42[医药卫生—骨科学]