Comparison of the clinical effects of modified arc-shaped incision and traditional"L"-shaped incision in comminuted calcaneal fractures
Objective:To compare the clinical efficacy of modified curved incision and traditional L-shaped incision in the treatment of comminuted calcaneal fractures.Methods:Forty-three cases of comminuted calcaneal fractures treated in our hospital were included from January 2020 to October 2022,and divided into modified group(treated with modified arc-shaped incision,n=23)and control group(treated with traditional L-shaped incision,n=20).The data were compared pertaining to imaging findings for the Gissane angle and Böhler angle,width and height values measured before and after surgery as well as the imaging indexes within group and between groups.In addition,the two groups were also compared regarding the operative time,the time to suture incision,postoperative complications,and scores by American Orthopedic Foot and Ankle Society(AOFAS).Results:Patients in both groups were followed for 10 to 16 months,with a median follow-up time of 12.62 months.The calcaneal width,height,Gissane angle and Böhler angle of the two groups of patients were significantly improved after surgery(P＜0.001),yet the changes were insignificant between groups before and after surgery(P＞0.05).There was no significant difference in the operative time and the time to suture incision between the two groups(P＞0.05),whereas the incidence of postoperative complication was lower,and the AOFAS scores were better in the modified group compared to control group(0.0％vs.30.0％,P＜O.05;87.56±4.73 vs.73.95±4.38,P＜0.001).Conclusion:The modified arc-shaped incision is worthy of wider recommendation because of its fewer incisional complications and significant curative effect in the treatment of comminuted calcaneal fractures.
calcaneal fracturecomparison of efficacymodified arc-shaped incision"L"-shaped incisioncomminuted fracture
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