摘要
目的 探究关节镜联合跟骨钉中钉系统与跗骨窦小切口内固定治疗SandersⅡ、Ⅲ型跟骨骨折的疗效。方法 选取2020年1月至2023年12月南方医科大学顺德医院附属杏坛医院收治的100例SandersⅡ、Ⅲ型跟骨骨折患者,按照随机数表法将患者分为对照组和观察组,每组50例。对照组采用跗骨窦小切口内固定,观察组采用关节镜联合跟骨钉中钉系统。比较2组手术相关数据指标、术后恢复及评分、放射学指标以及并发症发生情况。结果 观察组手术时间、住院时间及骨折愈合时间均短于对照组,观察组术中出血量、切口长度、踝关节肿胀程度及视觉模拟评分法评分低于对照组,观察组Maryland足功能评分和美国足踝骨科学会踝-后足功能评分、术后Bohler角和Gissane角均大于对照组,差异均有统计学意义(P<0.05)。观察组并发症总发生率8.00%低于对照组的24.00%,差异有统计学意义(P<0.05)。结论 关节镜联合跟骨钉中钉系统治疗SandersⅡ、Ⅲ型跟骨骨折的疗效较好,能够有效促进患者术后恢复,降低并发症发生风险。
Objective To compare the effect of arthroscopy combined with calcaneal nailing system and internal fixa⁃tion of tarsal sinus in the treatment of SandersⅡandⅢcalcaneal fractures.Methods 100 patients with fractures of SandersⅡandⅢcalcaneal fractures treated in trauma orthopedics hand and foot surgery,Xingtan hospital affiliated to Shunde hospi⁃tal of southern medical university from January 2020 to December 2023 were collected and were divided into two groups with each 50 cases according to the random number table method.The control group treated with internal fixation of tarsal sinus,the observation group treated with arthroscopy combined with calcaneal nailing system.Surgery⁃related data and indicators,postop⁃erative recovery and scores,radiographic indicators,and complications.Results The operation time,hospital stay and the fracture healing time of observation group were shorter than control group,the intraoperative blood loss,incision length,ankle joint swelling and the VAS score of observation group were lower than the control group,the Maryland foot function score and AOFAS ankle⁃hind foot score,postoperative Bohler and Gissane angles of observation group were greater than the control group(P<0.05).The observation group of overall incidence of complications 8.00%,which was lower than control group 24.00%(P<0.05).Conclusion The treatment of SandersⅡandⅢcalcaneal fractures combined with calcaneal nailing is effec⁃tive,which can effectively promote postoperative recovery,and reduce the risk of complications.
作者
梁就积
甘艺荣
陈有弟
黄转开
LIANG Jiuji;GAN Yirong;CHEN Youdi;HUANG Zhuankai(Trauma Orthopedics Hand and Foot Surgery,Xingtan Hospital Affiliated to Shunde Hospital of Southern Medical University,Foshan,Guangdong 528325,China)
出处
《转化医学杂志》
2024年第7期1080-1084,共5页
Translational Medicine Journal
基金
佛山市自筹经费类科技创新项目(2024061413)。
关键词
关节镜
跟骨钉中钉系统
跗骨窦小切口
内固定
跟骨骨折
疗效
Arthroscopy
Medium nailing system
Small incision of sinus tarsus
Internal fixation
Type SandersⅡ,Ⅲ
Calcaneal fracture
Efficacy
