微创小切口与开放“L”切口治疗Sanders Ⅱ、Ⅲ型跟骨骨折的效果比较

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Abstract Objective To explore the Comparison of clinical efficacy of minimally invasive technique and open "L" incision in the treatment of Sanders type Ⅱand Ⅲcalcaneal fractures.Methods A retrospective selection of 86 patients with calcaneal fractures admitted to the Department of Traumatology and Orthopedics, Fuzhou Second Hospital from October 2015 to February 2018, were divided into minimally invasive group (42 cases) and open group (44 cases) according to surgical methods.The minimally invasive group was treated with minimally invasive small technique combined with internal fixation, and the open group was treated with an open "L" incision.The operation time and intraoperative blood loss were compared between the two groups; the visual analogue scale (VAS) scores of the two groups at 2 weeks, 3 months and 8 months after the operation were compared; the Bohler angle, Gissane angle before and after surgery were compared between the two groups; the postoperative complications and Maryland foot score (MFS) at 8 months after surgery were compared between the two groups.Results The operation time, intraoperative blood loss and hospitalization days in the minimally invasive group were less than those in the open group, and the differences were statistically significant (P＜0.05).The Bohler angle and Gissane angle of the two groups at 8 months after operation were higher than those before operation, and the differences were statistically significant (P＜0.05).The total incidence of postoperative complications in the minimally invasive group was lower than that in the open group, and the difference was statistically significant (P＜0.05).The excellent and good rate of MFS score in the minimally invasive group at 8 months after the operation was higher than that in the open group, and the difference was statistically significant (P＜0.05).Conclusion Minimally invasive small technique combined with internal fixation in the treatment of Sanders typeⅡand Ⅲcalcaneal fractures has the advantages of less trauma, reduction under direct vision, reliable reduction and fixation, and low complications, which is worthy of clinical application.

Key words： Minimally invasive')" href="#"> Minimally invasive Calcaneal fracture;Clinical efficacy Complications

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CHEN Jian-song. Comparison of clinical efficacy of minimally invasive technique and open"L" incision in the treatment of Sanders type Ⅱand Ⅲcalcaneal fractures[J]. 中国当代医药, 2021, 28(29): 17-20.

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