摘要
目的分析传统顺行植入载距突螺钉与逆行植入载距突螺钉治疗跟骨骨折疗效。方法选取2019年3月~2021年1月我院80例跟骨骨折病人进行前瞻性研究。采用随机数字表法将入组对象分为对照组(采取传统方法顺行置入载距突螺钉)、试验组(采取逆行植入载距突螺钉),每组各40例。比较两组病人手术指标(手术时间、术中出血量、骨折愈合时间),术前和术后Bohler角、Gissane角,术后7天VAS评分、AOFAS评分、QOL评分及两组病人临床并发症发生率。结果对照组手术时间(103.52±12.50)分钟,高于试验组的(96.89±11.25)分钟;对照组术中出血量(79.58±9.13)ml,高于试验组的(60.25±8.71)ml;对照组骨折愈合时间(15.52±2.51)周,高于试验组的(11.47±2.03)周,差异均有统计学意义(P<0.05)。手术后比较,试验组Bohler角(31.08±4.22)°和Gissane角(125.99±4.38)°,高于对照组的(25.74±3.07)°和(110.48±5.12)°,差异有统计学意义(P<0.05)。手术后比较,试验组QOL评分(80.04±5.29)分和AOFAS评分(82.55±7.46)分,高于对照组的(68.17±4.79)分、(64.03±6.14)分,试验组VAS评分(1.28±0.42)分,低于对照组(3.02±1.23)分,差异有统计学意义(P<0.05)。试验组并发症发生率(7.50%)低于对照组(15.00%),差异无统计学意义(P>0.05)。结论逆行置入载距突螺钉治疗跟骨骨折,可改善骨折病情,减轻疼痛。
Objective To analyze the curative effect of traditional and retrograde insertion of talar process screws for calcaneal fracture.Methods From March 2019 to January 2021,80 patients with calcaneal fracture in our hospital were selected for the study.According to the surgical methods of patients,the subjects were divided into control group(traditional method of anterograde insertion of talar protrusion screws)and experimental group(retrograde insertion of talar protrusion screws),with 40 cases in each group.Surgical indicators(operative time,intraoperative blood loss,fracture healing time),Preoperative and postoperative Bohler Angle,Gissane Angle,VAS score,AOFAS score,QOL score,and the incidence of clinical complications in 2 groups were compared.Results The operation time of the control group(103.52±12.50)minwas higher than that of the experimental group(96.89±11.25)min.The amount of intraoperative blood loss in control group(79.58±9.13)ml was higher than that in experimental group(60.25±8.71)ml.The fracture healing time of the control group(15.52±2.51)weeks was higher than that of the experimental group(11.47±2.03)weeks,and the differences were statistically significant(P<0.05).After operation,Bohler Angle(31.08±4.22)°and Gissane Angle(125.99±4.38)°in experimental group were higher than those in control group(25.74±3.07)°and(110.48±5.12)°,with statistical significance(P<0.05).After operation,QOL score(80.04±5.29)and AOFAS score(82.55±7.46)of experimental group were higher than those of control group(68.17±4.79)and(64.03±6.14),VAS score of experimental group(1.28±0.42)was lower than that of control group(3.02±1.23).The differences were statistically significant(P<0.05).The incidence of complications in experimental group(7.50%)was lower than that in control group(15.00%),there was no statistical significance(P>0.05).Conclusion Retrograde insertion of talus process screws in the treatment of calcaneal fracture can significantly improve the condition of fracture,relieve pain,and improve the short-term quality of life of patients.
作者
彭永胜
何久盛
PENG Yongsheng;HE Jiusheng(Department of Traumatic Orthopedics,Shunyi District Hospital,Beijing 101300,China)
出处
《临床外科杂志》
2022年第11期1082-1085,共4页
Journal of Clinical Surgery
关键词
逆行螺钉
载距突
跟骨骨折
临床疗效
生活质量
retrograde screw
focal distance processes
calcaneal fracture
clinical efficacy
the quality of life
