摘要
目的:比较跗骨窦微创切口与跟骨外侧L形切口在治疗移位型跟骨关节内骨折中的效果。方法:2017年1月-2019年6月收治移位型跟骨关节内骨折患者46例,按照不同手术方式分为两组,各23例。A组采用跗骨窦微创切口钢板固定治疗,B组采用跟骨外侧L形切口钢板内固定治疗。比较两组治疗效果。结果:A组术前等待时间、手术时间、术后切口并发症发生率均低于B组,差异有统计学意义(P<0.05);两组术后2 d、12个月Bohler角、Gissane角及术后12个月足部功能Maryland评分比较,差异无统计学意义(P>0.05)。结论:采用跗骨窦微创切口治疗移位型跟骨关节内骨折,复位效果满意,固定可靠,切口并发症少,术后功能恢复满意。
Objective:To compare the effect of minimally invasive incision of tarsal sinus and L-shaped incision on the lateral side of the calcaneus in the treatment of displaced intra-articular calcaneal fracture.Methods:From January 2017 to June 2019,46 patients with displaced intra-articular calcaneal fracture were selected,they were divided into the two groups according to different surgical methods with 23 cases in each group.The group A was treated with minimally invasive plate fixation of tarsal sinus incision and plate fixation.The group B was treated with internal fixation with L-shaped incision plate on the lateral side of the calcaneus.We compared the treatment effects of the two groups.Results:The preoperative waiting time,operation time,and the incidence of postoperative incision complications in the group A were significantly lower than those in the group B,the difference was statistically significant(P<0.05).There was no significant difference in the scores of Bohler's angle,Gissane's angle and foot function(Maryland)at 12 months after the operation between the two groups at 2 d,12 months after the operation(P>0.05).Conclusion:The minimally invasive incision of the tarsal sinus for the treatment of displaced intra-articular calcaneal fracture has a satisfactory reduction effect,reliable fixation,few incision complications,and satisfactory postoperative functional recovery.
作者
丁懿
兰林
李秀平
马骏
毛真君
吕天
Ding Yi;Lan Lin;Li Xiuping;Ma Jun;Mao Zhenjun;Lv Tian(Department of Hand and Foot Surgery,Wuzhong People's Hospital of Suzhou City,Jiangsu Province,Suzhou,Jiangsu Suzhou 215128)
出处
《中国社区医师》
2021年第25期82-83,86,共3页
Chinese Community Doctors
关键词
跗骨窦微创切口
外侧L形切口
移位型跟骨关节内骨折
Minimally invasive incision of tarsal sinus
Lateral L-shaped incision
Displaced intra-articular calcaneal fracture
