Effect of Minimally Invasive Plate Internal Fixation via Tarsal Sinus Approach on Patients with Calcaneal Fracture
Objective:To observe the effect of minimally invasive plate internal fixation via tarsal sinus approach in the treatment of calcaneal fracture.Method:A total of 80 patients with calcaneal fracture admitted to the Department of Orthopedics of Mingxi County General Hospital from June 2021 to June 2022 were selected as the study objects and divided into plate group and screw group according to random number table method,with 40 cases in each group.The plate group was given minimally invasive plate internal fixation via tarsal sinus approach,and the screw group was given hollow screw internal fixation via tarsal sinus approach.Perioperative indicators,postoperative complication rate,and imaging parameters(Boehler angle and Gissane angle)before and after surgery were compared between the two groups.The ankle joint function[Maryland foot function score(MFS)]of the two groups before surgery and at 1 d,3 months and 6 months after surgery were compared.Result:There were no significant differences in incision length,operation time,intraoperative blood loss,drainage volume 1 d after operation and hospital stay between the two groups(P>0.05).After surgery,Boehler angle was greater than that before surgery,and Gissane angle was smaller than that before surgery,the differences were statistically significant(P<0.05);but there were no significant differences in Boehler angle and Gissane angle between the two groups(P>0.05).At 3 months and 6 months after surgery,MFS in two groups was higher than those before surgery and 1 d after surgery,and that in plate group was higher than that in screw group,the differences were statistically significant(P<0.05).The incidence of screw loosening in plate group was significantly lower than that in screw group,and the difference was statistically significant(P<0.05).Conclusion:Minimally invasive plate internal fixation via tarsal sinus approach for calcaneal fracture is similar to that for hollow screw internal fixation with similar surgical trauma and imaging efficacy,but minimally invasive plate fixation is more solid,the rate of postoperative screw release is lower,and it can effectively improve the postoperative ankle joint function of patients.
万方数据
维普
