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三联微创切口与传统"L"外侧切口治疗跟骨骨折疗效对比
引用本文:夏羿凡,蒋科,郭建平,周朝东.三联微创切口与传统"L"外侧切口治疗跟骨骨折疗效对比[J].川北医学院学报,2017,32(4):491-494.
作者姓名:夏羿凡  蒋科  郭建平  周朝东
作者单位:重庆市人民医院三院院区骨科,重庆,400010;川北医学院附属医院骨科,四川 南充,637000
基金项目:重庆市卫生和计划生育委员会资助项目
摘    要:目的:通过回顾性分析,对两种切口在治疗跟骨骨折中多个指标进行对比,为临床治疗提供新思路。方法:选择跟骨骨折患足48例,SandersⅠ型9例,SandersⅡ型15例,SandersⅢ型18例;SandersⅣ型6例,随机分为微创组和传统组进行治疗,并随访12个月。对比平均术前等待时间、平均手术时间、术后功能恢复情况及并发症发生率。结果:两组患者平均术前等待时间有显著统计学差异(P<0.001),微创组等待时间(133±66)h,较传统组(247±52)h短。两组患者术后B9lher角和Gissane角的恢复无显著差异。虽然两组患者在皮瓣坏死率(微创组0%,传统组17.65%)和感染率(微创组0%,传统组5.88%)无统计学差异,但微创组较传统组发生率低。两组患者术后功能恢复情况无显著性差异(P=0.986),但传统组有1例患者因皮瓣坏死后进行皮瓣修复而抱怨美观受到影响。结论:三联微创切口在治疗跟骨骨折上总体优于传统"L"型外侧切口,是一种可以推广的新入路。

关 键 词:三联微创切口  跟骨骨折

Comparison with triple minimally incision and traditional "L" incision for calcaneal fracture
XIA Yi-fan,JIANG Ke,GUO Jian-ping,ZHOU Chao-dong.Comparison with triple minimally incision and traditional "L" incision for calcaneal fracture[J].Journal of North Sichuan Medical College,2017,32(4):491-494.
Authors:XIA Yi-fan  JIANG Ke  GUO Jian-ping  ZHOU Chao-dong
Abstract:Objective:To provide a new method for calcaneal fractures by comparing the different kinds of incision.Methods:48 cases of calcaneal fracture,9 cases of sanders I ,15 cases of sanders II,18 cases of sanders Ⅲ,6 cases of sanders IV,and randomly divided into minimally group and traditional group were treated and followed up in 12 months.The average waiting time,average operation time,postoperative functional recovery and complications were compared.Results:There was a significant difference between two groups in average preoperative waiting time (P<0.001) and the waiting time of the minimally group was(133±66)h,which was shorter than (247±52) h of the traditional group.The recovery of 2 groups of patients' B(o)lher angle and Gissane angle had no significant difference.Although there was no significant difference between the two groups in the rate of skin flap necrosis (minimally group was 0%,traditional group 17.65%) and infection rate (minimally group was 0%,traditional group 5.88%),but the incidence rate of minimally group was lower than that of the traditional group.There was no significant difference in postoperative functional recovery between the two groups (P=0.986),but in the traditional group,there were 1 patient who complained about the appearance of the flap after the flap operation.Conclusion:The minimally incision for calcaneal fractures is superior to the traditional "L" type lateral incision.It is a new way to be popularized.
Keywords:Triple Minimally Incision  Calcaneal Fracture
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