摘要
目的探讨经跗骨窦入路钢板内固定术对跟骨骨折患者围术期指标、关节功能及术后并发症的影响.方法选取2021年8月—2022年6月松原吉林油田医院收治的108例跟骨骨折患者,随机分为观察组(n=54)与对照组(n=54).对照组采用经外侧"L"形切口入路钢板内固定术治疗,观察组采用经跗骨窦入路钢板内固定术治疗.对比两组的围术期指标、Bohler角、Gissane角、关节功能、术后并发症.结果两组手术时间、骨折愈合时间对比,组间差异无统计学意义(P>0.05);观察组术后引流量少于对照组,住院时间短于对照组,组间差异有统计学意义(P<0.05).术前,两组Bohler角和Gissane角比较,组间差异无统计学意义(P>0.05);术后3个月,两组Bohler角和Gissane角均大于术前,差异有统计学意义(P<0.05);术后3个月,两组Bohler角和Gissane角比较,组间差异无统计学意义(P>0.05).术前,两组Maryland足部评分、美国足踝外科协会(AOFAS)踝-后足评分、Kofoed踝关节评分比较,组间差异无统计学意义(P>0.05);术后3个月,两组Maryland足部评分、AOFAS踝-后足评分、Kofoed踝关节评分均高于术前,差异有统计学意义(P<0.05);术后3个月,两组Maryland足部评分、AOFAS踝-后足评分、Kofoed踝关节评分比较,组间差异无统计学意义(P>0.05).观察组术后并发症发生率5.56%低于对照组的20.37%,差异有统计学意义(P<0.05).结论采用经跗骨窦入路钢板内固定术治疗跟骨骨折能促进患者Bohler角、Gissane角、关节功能恢复,达到与经外侧"L"形切口入路钢板内固定术相当的效果,同时能减少术后引流量和术后并发症,缩短住院时间.
Objective To investigate the effect of tarsal sinus approach plate internal fixation on perioperative indexes,joint function and postoperative complications in patients with calcaneal fracture.Methods 108 patients with calcaneal fracture admitted to Songyuan Jilin Oilfield Hospital from August 2021 to June 2022 were selected and divided into an observation group(n=54)and a control group(n=54).The control group was treated with lateral"L"incision approach plate internal fixation,and the observation group was treated with tarsal sinus approach plate internal fixation.The peri-operative indexes,Bohler angle,Gissane angle,joint function and postoperative complications were compared between the two groups.Results There were no significant differences between the two groups in operation time and fracture healing time(P>0.05);the postoperative drainage volume of the observation group was less than that of the control group,and hospitalization time was shorter than that of the control group,and the differences between the groups were statistically significant(P<0.05).Before surgery,there were no significant differences in Bohler angle and Gissane angle between the two groups(P>0.05);at 3 months after surgery,the Bohler angle and Gissane angle in the two groups were greater than those before surgery,and the differences were statistically significant(P<0.05);at 3 months after surgery,there were no significant differences in Bohler angle and Gissane angle between the two groups(P>0.05).Before surgery,there were no significant differences between the two groups in Maryland foot score,ankle-foot score of American Orthopedic Foot and Ankle Society(AOFAS)and Kofoed ankle score(P>0.05);at 3 months after surgery,the Maryland foot score,ankle-foot score of AOFAS and Kofoed ankle score were higher than those before surgery,and the differences were statistically significant(P<0.05);at 3 months after surgery,there were no significant differences in Maryland foot score,ankle-foot score of AOFAS and Kofoed ankle score between the two groups(P>0.05).The incidence of postoperative complications in the observation group was 5.56%,lower than 20.37%in the control group,and the difference was statistically significant(P<0.05).Conclusion Tarsal sinus approach plate internal fixation can promote the recovery of Bohler angle,Gissane angle and joint function in the treatment of patients with calcaneal fracture,achieve the same effect of lateral"L"incision approach plate internal fixation,and reduce the postoperative drainage volume and postoperative complications,and shorten hospitalization time at the same time.
作者
范显超
刘海波
韩辉
FAN Xianchao;LIU Haibo;HAN Hui(Department of Bone Surgery,Songyuan Jilin Oilfield Hospital,Songyuan Jilin,138000,China)
出处
《反射疗法与康复医学》
2023年第3期131-134,共4页
Reflexology And Rehabilitation Medicine
关键词
跟骨骨折
经跗骨窦入路钢板内固定术
围术期
并发症
Calcaneal fracture
Tarsal sinus approach plate internal fixation
Perioperative period
Complication
作者简介
范显超(1983-),男,吉林松原人,硕士研究生,副主任医师,研究方向:骨外科临床。
