跗骨窦切口手术入路治疗跟骨骨折的疗效

目的比较跗骨窦切口手术入路和传统手术入路对跟骨骨折病人的治疗效果。方法选取跟骨骨折病人60例，其中34例行跗骨窦切口手术入路（跗骨窦组），26例行传统手术入路（传统组）。比较2组病人的手术时间、术后引流量、住院时间、术后并发症发生情况和术后3个月的Gissane角、Bohler角，并通过踝-后足评分（AOFAS）对病人术后6个月的恢复情况进行随访。结果2组病人手术时间差异无统计学意义（P>0.05），跗骨窦组病人术后引流量和住院时间均明显少于传统组（P < 0.01）。术后3个月，2组病人Gissane角和Bohler角均较手术前明显改善（P < 0.01），且跗骨窦组病人术后Gissane角明显优于传统组术后（P < 0.01）。跗骨窦组术后并发症发生率低于传统组（P < 0.05），术后6个月的AOFAS评分情况优于传统组（P < 0.05）。结论跗骨窦切口手术入路治疗跟骨骨折的疗效较传统手术好，可有效提高病人术后恢复情况及减少术后并发症的发生。

Effect of the tarsal sinus approach in the treatment of calcaneal fractures

ObjectiveTo compare the effects between tarsal sinus approach and traditional approach in the treatment of calcaneal fractures.MethodsSixty patients with calcaneal fractures were divided into the tarsal sinus group(34 cases treated with tarsal sinus approach) and traditional group(26 cases treated with traditional surgical approach).The operative time, postoperative drainage volume, length of hospital stay, postoperative complications and Gissane angle and Bohler angle after 3 months of operation were compared between two groups, and the recovery of patients after 6 months of operation in two groups were analyzed by ankle hind foot scale(AOFAS).ResultsThere was no statistical significance in the operative time between two groups(P>0.05), and the postoperative drainage volume and length of stay in tarsal sinus group were significantly lower than those in traditional group(P < 0.01).After 3 months of operation, the Gissane angle and in Bohler angle two groups were significantly improved compared with those before treatment, and the Gissane angle in tarsal sinus group was significantly better than that in traditional group after surgery(P < 0.01).The incidence rate of postoperative complications in tarsal sinus group was lower than that in traditional group(P < 0.05), and the AOFAS score in tarsal sinus group after 6 months of operation was better than that in traditional group(P < 0.05).ConclusionThe clinical efficacy of the tarsal sinus approach for treating calcaneal fractures is better.It can effectively improve the recovery of patients, and reduce the occurrence of postoperative complications.