[1]董建彬,刘 鹏.关节镜辅助下切开复位内固定治疗对SandersⅡ、Ⅲ型跟骨骨折临床疗效、骨折愈合及患者AOFAS评分的影响[J].陕西医学杂志,2021,50(10):1242-1245.[doi:DOI:10.3969/j.issn.1000-7377.2021.10.016]
　DONG Jianbin,LIU Peng.Effect of arthroscopy-assisted open reduction and internal fixation on clinical efficacy,fracture healing and AOFAS ankle-hind foot function score in patients with calcaneal fractures at Sanders type Ⅱ and type Ⅲ[J].,2021,50(10):1242-1245.[doi:DOI:10.3969/j.issn.1000-7377.2021.10.016]
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关节镜辅助下切开复位内固定治疗对SandersⅡ、Ⅲ型跟骨骨折临床疗效、骨折愈合及患者AOFAS评分的影响

《陕西医学杂志》[ISSN:1000-7377/CN:61-1281/TN]

卷:
50
期数:
2021年10期
页码:
1242-1245
栏目:
临床研究
出版日期:
2021-10-05

文章信息/Info

Title:
Effect of arthroscopy-assisted open reduction and internal fixation on clinical efficacy,fracture healing and AOFAS ankle-hind foot function score in patients with calcaneal fractures at Sanders type Ⅱ and type Ⅲ
作者:
董建彬1; 刘 鹏2
(1.榆林市第一医院骨科,陕西 榆林 719000; 2.榆林市第一医院手足显微外科,陕西 榆林 719000)
Author(s):
DONG Jianbin; LIU Peng
(Department of Osteology,the First Hospital of Yulin,Yulin 719000,China)
关键词:
跟骨骨折;  关节镜;  切开复位内固定;  Sanders分型;  踝-后足功能评分
Keywords:
Calcaneal fracture;  Arthroscopy;  Open reduction and internal fixation;  Sanders classification;  Ankle-hind foot function score
分类号:
R 683
DOI:
DOI:10.3969/j.issn.1000-7377.2021.10.016
文献标志码:
A
摘要:
目的:探讨关节镜辅助下切开复位内固定治疗对SandersⅡ、Ⅲ型跟骨骨折患者临床疗效、骨折愈合及美国足踝骨科学会踝-后足功能评分(AOFAS)的影响。方法:回顾性分析进行手术治疗的180例跟骨骨折患者的临床资料,根据不同的手术方案分为对照组(n=90)与观察组(n=90),对照组采取传统切开复位内固定术,观察组采取关节镜辅助下切开复位固定术,比较两组患者围手术指标、临床疗效及并发症发生情况。结果:观察组患者的手术时间、术中出血量及骨折愈合时间等各项指标优于对照组(均P<0.05); 术后对照组优良率为61.11%; 观察组优良率为84.44%,观察组患者的临床疗效好于对照组(P<0.05); 观察组并发症发生率(3.33%)较低于对照组(12.22%,P<0.05)。结论:关节镜辅助下切开复位固定术不仅能缩短Sanders Ⅱ、Ⅲ型跟骨骨折患者的手术时长及愈合时间,还可降低患者术中出血量及术后并发症发生率,较传统手术而言具有一定的优势。
Abstract:
Objective:To explore the effect of arthroscopy-assisted open reduction and internal fixation on the clinical efficacy,fracture healing and AOFAS ankle-hind foot function score in patients with calcaneal fractures at Sanders type Ⅱ and type Ⅲ.Methods:The clinical data of 180 patients with calcaneal fractures underwent surgical treatment were retrospectively analyzed.According to different treatments,they were divided into control group(n=90)and observation group(n=90).The control group was treated with traditional open reduction and internal fixation.The observation group was treated with arthroscopy-assisted open reduction and internal fixation.The perioperative indexes,clinical efficacy and complications of the two groups were compared.Results:The operation time,intraoperative blood loss and fracture healing time of the observation group were better than those of the control group(all P<0.05).The postoperative excellent and good rate of control group and observation group was 61.11% and 84.44%,and the clinical efficacy of the observation group was better than that of the control group(P<0.05).The incidence of complications in the observation group(3.33%)was lower than that in the control group(12.22%)(P<0.05).Conclusion:Arthroscopy-assisted open reduction and internal fixation can not only shorten the operation time and healing time of patients with Sanders Ⅱ and Ⅲ calcaneal fractures,but also reduce intraoperative blood loss and the incidence of postoperative complications.Compared with traditional surgery,it has some advantages.

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备注/Memo

备注/Memo:
基金项目:陕西省社会发展科技攻关项目(2017SF179)
更新日期/Last Update: 2021-10-08