经跗骨窦入路微型锁定钢板治疗跟骨sandersⅡ和Ⅲ型骨折的临床效果

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Abstract Objective To explore the clinical effect of mini-locking plate through tarsal sinus approach in the treatment of calcaneal sandersⅡandⅢfractures.Methods Altogether 60 cases of calcaneal sanders typeⅡand typeⅢfractures who were admitted to the Second Traditional Chinese Medicine Hospital of Meizhou City and Chengdong Town Health Hospital of Meixian District of Meizhou City from June 2016 to June 2018 were selected as the study subjects and randomly divided into the control group and the observation group,30 cases in each group.The control group was treated with prying reduction and external fixation with Kirschner nail,and the observation group was treated with mini-locking plate treatment via sinus approach.The patients were followed up post-operatively for 3 months to understand the healing of fracture,and to observe whether the patients had incision infection and skin necrosis.At the same time,ankle and foot function scoring system(AOFAS)was used to evaluate the post-treatment foot function of patients.Results After 3-month follow-up,the healing rate of fracture of the observation group was 100.00%,which was higher than 66.67%of the control group,the difference was statistically significant(P＜0.05).The incision infection and skin necrosis rate of the observation group were lower than those of the control group,with statistically significant difference (P＜0.05).The excellent rate of sanders typeⅡand typeⅢpatients of the observation group was higher than that of the control group,with statistically significant difference (P＜0.05).Conclusion Application of mini-locking plate through tarsal sinus approach in the treatment of calcaneal sanders typeⅡand typeⅢfractures can avoid complications such as necrosis of skin flap and infection of incision after operation,which is worthy of clinical promotion in the future.

Key words： Transtarsal approach Mini-locking plate Calcaneal Sanders type Ⅱ Calcaneal Sanders type Ⅲ

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	LU Zhi-feng
	WANG Hai-feng
	ZENG Hui-ling

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LU Zhi-feng,WANG Hai-feng,ZENG Hui-ling. Clinical effect of mini-locking plate through tarsal sinus approach in the treatment of calcaneal sanders typeⅡandⅢfractures[J]. 中国当代医药, 2019, 26(8): 65-67.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2019/V26/I8/65

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