Clinical Study of Modified Arc Extended Tarsal Sinus Approach on the Treatment of Patients with Calcaneal Fractures
Objective:To investigate the curative efficacy and safety of modified arc extended tarsal sinus approach on the treatment of patients with Sanders Ⅱ,Ⅲ calcaneal fractures.Methods:56 patients with Sanders Ⅱ,Ⅲ calcaneal fractures were chosen as the research object from June 2021 to January 2023.They were randomly divided into modified arc extend-ed tarsal sinus approach group(28 patients)and tarsal sinus approach group(28 patients)according to random number table.All patients were radiographed regularly before and after surgery.The time waiting for surgery,operative time,inci-sion length,intraoperative blood loss,calcaneal length,width,height,Bolher angle,Gissane angle,calcaneus varus angle,in-cision healing time,fracture healing time and American orthopaedic foot and ankle society(AOFAS)scores were observed and compared between the two groups.Postoperative complications were recorded.Results:Both groups successfully com-pleted the operation without serious neurological and vascular injury complications.The operative time,intraoperative blood loss in the modified arc extended tarsal sinus approach group were less than those in the tarsal sinus approach group(P＜0.05).The incision length in the modified arc extended tarsal sinus approach group were longer than those in the tar-sal sinus approach group(P＜0.05).There was no statistically significant difference in the time waiting for surgery,calca-neal length,width,height,Bolher angle,Gissane angle,calcaneus varus angle,incision healing time,fracture healing time and AOFAS scores in both group(P＞0.05).Conclu-sion:Compared with the tarsal sinus approach,modified arc extended tarsal sinus approach make fracture incision healed well,reduce the operation time and intraoperative blood loss.The curative efficacy was satisfactory.
calcaneal fracturemodified arc extended tarsal sinus approachminimally invasive surgery
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