Comparison of curative effects of WU school of orthopaedic manipulation bone setting technique with percutaneous prying internal fixation with Kirschner wire and open reduction internal fixation
Objective:To compare the clinical effect of WU school of orthopaedic manipulation bone setting technique combined with percutaneous prying reduction of Kirschner wire internal fixation and lateral"L"shaped approach plate internal fixation in the treat-ment of Sanders Ⅱ and Ⅲ calcaneal fractures.Methods:Patients with Sanders Ⅱ and Ⅲ calcaneal fractures treated in Suzhou Hospital of Traditional Chinese Medicine from January 2020 to December 2021 were selected and randomly divided into the treatment group and the control group according to random number table.In the treatment group,32 cases were treated by WU school of orthopaedic manipulation bone setting technique combined with percutaneous prying reduction of Kirschner wire internal fixation.In the control group,32 cases were treated with lateral"L"shaped approach plate internal fixation.The perioperative time,intraoperative and postoperative blood loss,fracture healing time,calcaneal length,width,height,Bohler Angle,Gissane Angle and Maryland and AOFAS scores 6 months after surgery were compared between the two groups.Results:Both groups were followed up.There were no significant differences in preoperative waiting time,fracture healing time,Maryland and AOFAS scores between the two groups(P>0.05).The operation time and blood loss in minimally invasive group were significantly less than those in traditional incision group(P<0.05).There were no statistically significant differences in calcaneal length,width,height,Bohler Angle and Gissane Angle between the two groups(P>0.05).Compared with preoperative indexes,calcaneal length,width,height,Bohler Angle and Gissane Angle of the two groups recovered significantly after surgery(P<0.05).The loss was not significant 6 months after surgery and imme-diately after surgery(P>0.05).The incidence of postoperative complications in the traditional incision group was higher than that in the minimally invasive group(P<0.05).Conclusion:Both WU school of orthopaedic manipulation bone setting technique combined with percutaneous prying reduction of Kirschner wire internal fixation and lateral"L"shaped approach plate internal fixation can effectively treat Sanders Ⅱ and Ⅲ calcane-al fractures,and WU school of orthopaedic manipulation bone setting technique combined with percutaneous prying reduction of Kirschner wire internal fixation have advantages of less trauma and faster operation in the treatment.
万方数据
维普
