摘要
目的探究经跗骨窦闭合复位空心钉内固定术对跟骨骨折患者足部功能及并发症的影响。方法选择2020年1月—2021年8月昌乐县人民医院骨科收治的96例跟骨骨折患者为研究对象,依据手术方案不同分为对照组及研究组,每组48例。对照组行外侧“L”形切口钢板内固定术,研究组行经跗骨窦闭合复位空心钉内固定术。比较两组患者的围术期指标,足部功能,跟骨高度、跟骨宽度、Gissane角及Bolher角等影像学评价指标及并发症发生率。结果研究组的手术时间及术后住院时间均短于对照组,术中出血量少于对照组,组间差异有统计学意义(P<0.05);两组的术后骨折愈合时间比较,差异无统计学意义(P>0.05)。术后12个月,研究组的足部功能优良率为95.83%,高于对照组的81.26%,差异有统计学意义(P<0.05)。术后5 d,两组的跟骨高度高于术前,Gissane角及Bolher角均大于术前,跟骨宽度短于术前,差异有统计学意义(P<0.05);但两组间的跟骨高度、跟骨宽度、Gissane角及Bolher角比较,组间差异无统计学意义(P>0.05)。研究组的并发症发生率为6.25%,低于对照组的20.83%,差异有统计学意义(P<0.05)。结论经跗骨窦闭合复位空心钉内固定术治疗跟骨骨折的微创优势显著,能更好地促进患者足部功能与解剖结构恢复,减少并发症发生,安全性高。
Objective To investigate the effect of transtarsal sinus closed reduction hollow nail fixation on foot function and complications in patients with calcaneal fracture.Methods 96 patients with calcaneal fracture admitted to the Department of Orthopedics of Changle County People's Hospital from January 2020 to August 2021 were selected as the research objects,and were divided into a control group and a research group according to different surgical programs,with 48 cases in each group.The control group underwent lateral"L"incision plate internal fixation,and the study group underwent transtarsal sinus closed reduction hollow nail internal fixation.The perioperative indexes,foot function,imaging evaluation indexes such as calcaneal height,calcaneal width,Gissane angle,Bolher angle and complications were compared between the two groups.Results The operation time and postoperative hospital stay of the study group were shorter than those of the control group,and the intraoperative blood loss was less than that of the control group,the differences between the groups were statistically significant(P<0.05);there was no significant difference in postoperative fracture healing time between the two groups(P>0.05).12 months after surgery,the excellent and good rate of foot function in the study group was 95.83%,higher than 81.26%in the control group,the difference was statistically significant(P<0.05).5 days after surgery,the calcaneal height in both groups was higher than before surgery,the Gissane angle and Bolher angle were larger than before surgery,and the calcaneal width was shorter than before surgery,the differences were statistically significant(P<0.05);but there were no significant differences in calcaneal height,calcaneal width,Gissane angle and Bolher angle between the two groups(P>0.05).The complication rate of the study group was 6.25%,lower than 20.83%of the control group,and the difference was statistically significant(P<0.05).Conclusion The treatment of calcaneal fracture by transtarsal sinus closed reduction hollow nail fixation has significant minimally invasive advantages,which can better promote the recovery of foot function and anatomical structure,reduce complications and have high safety.
作者
张志鹏
刘军华
ZHANG Zhipeng;LIU Junhua(Department of Emergency Surgery,Changle County People's Hospital,Weifang Shandong,262400,China;Department of Orthopedics,Changle County People's Hospital,Weifang Shandong,262400,China)
出处
《反射疗法与康复医学》
2023年第11期162-165,共4页
Reflexology And Rehabilitation Medicine
关键词
跟骨骨折
足部功能
经跗骨窦闭合复位空心钉内固定术
并发症
Calcaneal fracture
Foot function
Transtarsal sinus closed reduction hollow nail fixation
Complication
作者简介
张志鹏(1979-),男,山东潍坊人,硕士研究生,副主任医师,研究方向:骨外科临床常见疾病诊治。
