Comparison of Clinical Efficacy of Minimally Invasive Arthroscopic Treatment and Traditional Surgery for Calcaneal Fracture
Objective To investigate the clinical effect of minimally invasive arthroscopic treatment and traditional surgery on calcaneal fracture.Methods A total of 41 patients with calcaneal Sanders Ⅱ and Ⅲ fracture treated in the People's Hospital of Shifang,Sichuan province from March 2018 to March 2023 were selected and divided into the traditional group(n=21)and the arthroscopic group(n=20)according to different operation methods.Operation time,intraoperative blood loss,incision length,fracture healing time,Maryland foot function score,American orthopedic foot and ankle society(AOFAS)postankle-foot function score,clinical response rate and complication rate were compared between the two groups.Results The operative time,intraoperative blood loss,incision length and fracture healing time in the arthroscopic group were smaller than those in the traditional group(P<0.05).The postoperative AOFAS and Maryland foot function scores of both groups were higher than those before surgery,with statistical significance compared with before surgery(P<0.05).AOFAS and Maryland foot function scores in the arthroscopic group were higher than those in the traditional group 3 months after surgery,and the difference was statistically significant(P<0.05).The total effective rate and incidence of complications in the arthroscopic group were 95.00％and 5.00％,the control group were 61.90％and 38.10％,and there were statistical differences between the two groups(P<0.05).Conclusion Compared with traditional surgery,arthroscopic assisted treatment of calcaneal Sanders Ⅱ and Ⅲ fractures has less trauma,better recovery of foot function,lower complication rate and better clinical therapeutic effect,which has a very positive impact on improving the treatment efficiency of calcaneal fractures.
万方数据
维普
