经跗骨窦切口入路治疗Sanders II、III型跟骨骨折的疗效分析
Efficacy analysis on internal fixation of through sinus tarsi approach  and conventional lateral L shape approach
投稿时间:2017-10-22  
DOI:10.11724/jdmu.2018.01.06
中文关键词:  跟骨骨折  跗骨窦入路  内固定
英文关键词:calcaneal fracture  surgical approach  internal fixation
基金项目:基金项目:国家自然科学基金项目(31270999)
作者单位
李云鹏 大连医科大学附属第二医院 创伤骨科辽宁 大连 116027 
张 路 大连医科大学附属第二医院 创伤骨科辽宁 大连 116027 
赵文志 大连医科大学附属第二医院 创伤骨科辽宁 大连 116027 
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中文摘要:
      目的 对比分析经跗骨窦入路及传统外侧L型扩展入路治疗跟骨Sanders II、III型跟骨骨折的疗效。方法 将2014年12月至2016年5月入院治疗并符合标准的47例跟骨骨折患者根据手术入路分为两组(传统外侧L切口入路组25例和跗骨窦切口入路组22例)。比较两组患者的手术时间、住院时间、愈合时间、术后随访功能及并发症的发生情况,并对术前术后Bohler角及Gissane角的大小进行测量。术后随访1~18个月,采用AOFAS评分评价足部功能。结果 传统外侧L切口入路组较跗骨窦切口入路组患者手术时间更长(P<0.05);两组在骨折愈合时间、AOFAS评分、术后Bohler及Gissane角恢复等方面差异无显著性意义(P>0.05)。结论 与传统外侧L切口入路对比,经跗骨窦切口入路治疗Sanders II、III型跟骨骨折可以取得较满意的临床结果,具有一定的优势,但需严格掌握适应证,术者需有传统术式经验积累。
英文摘要:
      ObjectiveTo compare and analyze the curative efficacy of internal fixation of Sanders type II & III calcaneal fractures through sinus tarsi approach and conventional lateral L shape approach.MethodsForty-five cases of Sanders type II & III calcaneal fractures between December of 2014 and May of 2016 were enrolled and divided into groups A (conventional lateral L shape approach: 25 cases) and B (sinus tarsi approach: 22 cases). The operation time, hospital stay, healing time, postoperative follow-up, and complications were compared and analyzed. The preoperative & postoperative angle of Bohler and Gissane were measured and analyzed as well. The patients were followed up at 1, 3, 6, 12, and 18 month.ResultsThe conventional laterel L shape approach got a longer operation time than the sinus tarsi one (P<0.05). There are no significant differences between the two grasps in healing time. AOFAS scores, angle of Bohler and Gissane of post-operation(P>0.05). ConclusionCompared with the conventional lateral L shape approach, the Sanders type II & III calcaneal fractures treated by sinus tarsi approach got satisfied clinical results, with a shorter operation time and low skin complications. But surgeon need to grasp the indications strictly and should have the experience of traditional operation.
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