Effect of Small-incision Fracture Prying and Pulling Reset Combined with Interlocking Intramedullary Nailing Internal Fixation Surgery on Patients with Calcaneal Fracture
Objective:To analyze effect of small-incision fracture prying and pulling reset combined with interlocking intramedullary nailing internal fixation surgery on patients with calcaneal fracture.Method:Sixty patients with calcaneal fracture admitted to Dehua County Hospital from September 2020 to September 2023 were retrospectively selected as the study objects.According to different treatment methods,the patients were divided into control group and observation group,30 cases in each group.The control group received open reduction and internal fixation surgery,and the observation group received small-incision fracture prying and pulling reduction combined with interlocking intramedullary nail internal fixation surgery.Perioperative indexes,imaging parameters before and 48 h after surgery,ankle function and before and 3 months after surgery and complications were compared between the two groups.Result:The operation time,hospital stay and fracture healing time in the observation group were shorter than those in the control group,and the intraoperative blood loss volume was less than that in the control group,the differences were statistically significant(P<0.05).At 48 h after surgery,Bohler angle increased,Gissane angle and calcaneal bone width decreased in both groups,Bohler angle in observation group was higher than that in control group,Gissane angle and calcaneal bone width were lower than those in control group,the differences were statistically significant(P<0.05).Three months after surgery,American Orthopedic Foot and Ankle Society(AOFAS)and Maryland foot score(MFS)scores of the observation group were higher than those of the control group,the differences were statistical significant(P<0.05).The incidence of complications in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).Conclusion:Small-incision fracture prying and pulling reduction combined with interlocking intramedullary nail internal fixation surgery is beneficial to postoperative recovery of calcaneal fracture patients,can improve imaging indicators and foot and ankle function,reduce complications.
Small-incision fracture prying and pullingInterlocking intramedullary nail internal fixation surgeryCalcaneus fractureImaging parameterFoot and ankle functionComplication
万方数据
维普
