Study on the Value of Percutaneous Reduction of Minimally Invasive Cal-caneal Screw Fixation for Sanders Type Ⅱ and Ⅲ Calcaneal Fractures
Objective To explore the application value of percutaneous reduction and minimally invasive calcaneal screw fixation in the treatment of Sanders type Ⅱ and Ⅲ calcaneal fractures.Methods A total of 47 patients with cal-caneal fractures admitted to Dong'e County People's Hospital from September 2020 to December 2023 were conve-niently selected as the research objects.According to different treatment methods,they were divided into control group(23 cases)and study group(24 cases).The control group was treated with open reduction and internal fixation,and the study group was treated with percutaneous reduction and minimally invasive calcaneal screw fixation.The surgical in-dicators,clinical efficacy and the incidence of complications of the two groups were compared.Results The operation time(60.94±7.26)min,fracture healing time(3.52±0.34)months and hospitalization time(13.28±5.17)d of the control group were longer than those of the study group(35.26±5.83)min,(3.16±0.25)months,(5.24±1.38)d,and the amount of bleeding(69.50±12.63)mL was more than that of the study group(25.39±4.27)mL,the differences were statisti-cally significant(t=13.399,4.148,7.353,16.178,all P<0.05).Before operation,there was no significant difference in the clinical efficacy between the two groups(P>0.05);at 3 months after operation,the Americum Orthopedic Foot and Ankle Society Scale scores of the two groups were higher than those before operation,and the study group was higher than the control group,the differences were statistically significant(all P<0.05).The total incidence of complications in the study group was lower than that in the control group,the difference was statistically significant(P<0.05).Con-clusion The application of percutaneous reduction and minimally invasive calcaneal screw fixation in patients with Sanders type Ⅱ and Ⅲ calcaneal fractures has better surgical indicators,and can improve clinical efficacy and reduce the risk of complications.
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