撬拔复位与切开复位内固定治疗SandersII型跟骨骨折临床对比研究

2015-11-13沈方琴

中外医疗 2015年28期

沈方琴

昆山市第一人民医院，江苏昆山215300

[摘要]目的探讨撬拔复位与切开复位内固定治疗SandersII型跟骨骨折临床疗效及安全性差异。方法随机选取该院2010 年1月—2015年1月收治SandersII型跟骨骨折患者80例，采用随机数字表法分为A组（40例）和B组（40例），分别采用撬拔复位与切开复位内固定治疗；比较两组患者临床疗效和术后并发症发生率。结果B组患者临床疗效显著优于A组，差异有统计学意义（P<0.05）；B组患者术后并发症发生率显著低于A组，差异有统计学意义（P<0.05）。结论相较于撬拔复位内固定，切开复位内固定治疗SandersII型跟骨骨折可有效促进术后足部功能，降低并发症发生风险，具有临床应用价值。

[关键词]撬拔复位；切开复位；内固定；跟骨骨折；疗效；安全性

[中图分类号]R68

[文献标识码]A

[文章编号]1674-0742（2015）10（a）－0109-03

[作者简介]沈方琴(1975-)，女，江苏昆山人，本科，主治医师，现主要从事四肢骨折创伤及手足急诊创伤的修复、功能重建工作。

Abstract[]Objective To compare the clinical efficacy and safety between reduction by leverage and open reduction and internal fixation in the treatment of Sanders II type calcaneus fracture.Methods 80 patients with Sanders II type calcaneus fracture with were chosen in the period from January 2010 to January 2015 in our hospital and randomly divided into group A (n=40) and group B (n=40) to receive reduction by leverage and open reduction and internal fixation respectively, and the clinical effects and postoperative complication rate of both groups were compared.Results The clinical effects of group B was significantly better than of group A (P<0.05).The postoperative complication rate of group B was significantly better than that of group A (P<0.05).Conclusion Compared with reduction by leverage, open reduction and internal fixation can bring better effect in the treatment of Sanders II type calcaneus fracture in promoting the postoperative foot function and lowering the rate of complication.

收稿日期：（2015-07-10）

Reduction by Leverage Versus Open Reduction and Internal Fixation in the Treatment of Sanders II Type Calcaneus Fracture: A Comparative Analysis

SHEN Fang-qin

First People's Hospital of Kunshan City, Kunshan, Jiangsu Province, 215300 China

[Key words]Reduction by leverage; Open reduction; Internal fixation; Calcaneus fracture; Clinical effects; Safety

流行病学研究显示[1]，跟骨骨折患者人数约占跗骨骨折总数55%~60%；相较于其他部位，跟骨周围结构较为复杂，缺少软组织覆盖，在增加临床治疗难度的同时术后恢复时间亦显著延长。目前临床跟骨骨折治疗方法主要包括撬拔复位与切开复位，但有何种术式更具优势尚存在一定争议。该次研究以该院于2010 年1月—2015年1月收治SandersII型跟骨骨折患者80例，分别采用撬拔复位与切开复位内固定治疗；比较两组患者临床疗效和术后并发症发生率，探讨撬拔复位与切开复位内固定治疗SandersII型跟骨骨折临床疗效及安全性差异，现报道如下。