Objective To investigate the factors influencing the postoperative complications of internal fixation of the tarsal sinus incision hippocampal plate for Sanders type Ⅱ and Ⅲ calcaneal fracture.Methods A retrospective analysis of 85 patients with Sanders type Ⅱ and Ⅲ calcaneal fracture treated with tarsal sinus incision hippocampal plate internal fixation from January 2021 to April 2022 was performed.According to the postoperative complications,they were divided into a complication group and non-complication group.The non-complication group was defined as recovery to baseline function within 6 months after operation,doing normal work and daily activities,and no continuous need for analgesics.The complication group was defined as fracture complication requiring re-hospitalization,the use of a walking aid,and continuous analgesics.The risk factors for complications of Sanders Ⅱ and Ⅲ bone fractures were analyzed by univariate and multifactorial methods.Results Multi-factorial logistic regression analysis result showed that time from fracture to surgery,Sander type Ⅲ,postoperative Böhler angle,and DVBA were as independent risk factors for complications.Age was not associated with the development of postoperative complications.Conclusions Clinicians should be alert for postoperative complications in patients with Sander type Ⅲ,poor postoperative Böhler angle recovery,and long fracture-to-operation time for calcaneal fracture.
关键词
跟骨骨折/跗骨窦切口/海马型钢板内固定/危险因素
Key words
Calcaneal fracture/Tarsal sinus incision/Internal fixation with hippocampal plate/Risk factors
维普
万方数据