摘要
目的比较经跗骨窦切口入路和经外侧L形切口入路在跟骨骨折患者中的应用效果.方法回顾性分析2018年1月—2022年12月我院收治并行手术治疗的80例跟骨骨折患者的临床资料.其中采用经跗骨窦切口入路的48例纳入观察组,采用经外侧L形切口入路的32例纳入对照组.比较两组术后3个月踝-后足功能优良情况,术前及术后1周Bohler角和Gissane角,手术相关指标及手术相关并发症发生情况.结果观察组术中出血量少于对照组,住院时长和伤口愈合时长短于对照组,组间差异有统计学意义(P<0.05).术后3个月,观察组患肢踝-后足功能优良率为87.50%,高于对照组的68.75%,差异有统计学意义(P<0.05).两组术前术后足部Gissane角和Bohler角比较,组间差异无统计学意义(P>0.05).术后1周,两组Gissane角和Bohler角均大于治疗前,差异有统计学意义(P<0.05).观察组并发症发生率为4.17%,低于对照组的21.88%,差异有统计学意义(P<0.05).结论在跟骨骨折手术治疗中,经跗骨窦切口入路相比经外侧L形切口入路治疗效果更优,经跗骨窦切口入路手术术后患肢踝-后足功能恢复更好,手术创伤更小,术后相关并发症更少,术后恢复更快.
Objective Compare the effectiveness of the transtarsal sinus incision approach and the lateral L-shaped incision approach in the treatment of calcaneal fractures.Methods A retrospective analysis was conducted on 80 cases of calcaneal fractures treated with concurrent surgery in our hospital from January 2018 to December 2022.Among them,48 cases were treated through a tarsal sinus incision and included in the observation group.32 cases were included in the control group using the lateral L-shaped incision approach.Compare the excellent ankle hindfoot function of two groups three months after surgery,as well as the Bohler angle and Gissane angle before and one week after surgery,surgical related indicators,and incidence of surgical related complications.Results The intraoperative bleeding in the observation group was less than that in the control group,and the length of hospital stay and wound healing time were longer than those in the control group,with statistically significant differences between the groups(P<0.05).After 3 months of surgery,the excellent and good rate of ankle hind foot function in the observation group was 87.50%,which was higher than 68.75%in the control group,and the difference was statistically significant(P<0.05).There was no statistically significant difference between the two groups in terms of Gissane angle and Bohler angle of the feet before and after surgery(P>0.05).After 1 week of surgery,both Gissane angle and Bohler angle in the two groups were greater than before treatment,and the differences were statistically significant(P<0.05).The incidence of complications in the observation group was 4.17%,which was lower than 21.88%in the control group,and the difference was statistically significant(P<0.05).Conclusion In the surgical treatment of Sanders typeⅡ-Ⅲcalcaneal fractures,the tarsal sinus incision approach is more effective than the lateral L-shaped incision approach.The tarsal sinus incision approach has better ankle hindfoot function recovery,smaller surgical trauma,fewer postoperative complications,and faster postoperative recovery.
作者
陆贝晨
LU Beichen(Trauma Center,Changzhou Wujin People's Hospital,Changzhou Jiangsu,213002,China)
出处
《反射疗法与康复医学》
2024年第3期98-100,120,共4页
Reflexology And Rehabilitation Medicine
关键词
跟骨骨折
经跗骨窦切口入路
经外侧L形切口入路
肢踝-后足功能
Calcaneal fracture
Transtarsal sinus incision approach
Approach through an L-shaped incision on the lateral side
Ankle hindfoot function
作者简介
陆贝晨(1981-),男,江苏常州人,本科,副主任医师,研究方向:创伤骨科、足踝外科、手外科疾病诊治。
