1. 跗骨窦入路切开复位内固定与外侧"L"形入路切开复位内固定治疗跟骨骨折的疗效比较研究
- Author
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夏先学, 杨志强, 蒋萍, 陈路, and 蔚芃
- Abstract
Objective: To compare the curative effect of tarsal sinus approach with open reduction and internal fixation and lateral "L"-shaped approach with open reduction and internal fixation for the treatment of calcaneal fractures. Methods: 86 patients with calcaneal fractures who were treated at the Affiliated Hospital of North Sichuan Medical College from October 2016 to June 2017 were enrolled. The patients were divided into the control group and the observation group according to the random number table method, and 43 patients in both groups. The control group was treated with lateral "L"-shaped approach with open reduction and internal fixation. The observation group was treated with tarsal sinus approach with open reduction and internal fixation. The operation time, hospitalization time, fracture healing time, sputum-hind foot function, VAS score, B?hler angle, Gissane angle and postoperative complication rate were compared between the two groups. Results: There was no difference in the operation time and fracture healing time between the two groups(P>0.05). The hospitalization time of the observation group was shorter than that of the control group(P<0.05). The talus-hind foot function excellent rate in the observation group was higher than that in the control group(P <0.05). There were no significant differences in VAS score, B?hler angle and Gissane angle between the two groups before and 12 months after operation(P>0.05). At 12 months after operation, the VAS scores of both groups were significantly lower than those before operation, and the B?hler angle and Gissane angle were significantly higher than those before operation(P<0.05). The incidence rate of postoperative complications in the observation group was lower than that in the control group(P<0.05). Conclusion: The sacral sinus approach and the lateral "L" approach with open reduction and internal fixation can effectively treat calcaneal fractures. However, tarsal sinus approach can improve ankle-hind foot function more effectively, with shorter hospitalization time and lower incidence of postoperative complications. [ABSTRACT FROM AUTHOR]
- Published
- 2019
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