Comparative study on clinical efficacy and safety of minimally invasive internal fixation and open reduction in the treatment of calcaneal fractures
微创内固定术与切开复位治疗跟骨骨折的临床疗效对比研究以及安全性分析

摘要

目的 探讨跟骨骨折患者采取微创内固定术与切开复位术治疗的效果。方法 在2020年5月至2021年5月我院收治的跟骨骨折患者中选取62例参与研究，依据随机数字表法分2组，各31例。对照组采取切开复位手术治疗，观察组采取微创内固定术治疗，比对两组临床疗效、手术相关指标、VAS评分、AOFAS评分、SF-36评分、骨折愈合时间、术后Bohler角、术后Gissane角以及并发症发生率等。结果 观察组治疗有效率96.77%显著高于对照组的77.42%（P＜0.05），观察组手术相关指标包括手术时间（80.42±5.32）min、住院时间（6.21±1.75）d，骨折愈合时间（4.12±0.32）d、术后Bohler角（32.42±5.24）°、术后Gissane角（132.21±5.12）°明显优于对照组（P＜0.05），与治疗后对照组比，观察组VAS评分（1.23±0.15）分较低，AOFAS评分（93.12±5.08）分、SF-36评分（84.32±5.12）分更高（P＜0.05）。观察组并发症发生率6.45%显著低于对照组的29.03%，组间比较差异显著（P＜0.05）。结论 与切开复位术效果比较，对跟骨骨折患者给予微创内固定术治疗效果显著，创伤性小，缩短恢复时间，利于预后，但临床需根据患者的真实病情选取最佳的手术方法。

Abstract

Objective: To investigate the effect of minimally invasive internal fixation and open reduction on calcaneal fracture.
Methods: From May 2020 to May 2021, 62 patients with calcaneal fracture in our hospital were selected to participate in the study. They were divided into two groups according to the random number table, 31 patients in each group. The control group was treated with open reduction and the observation group was treated with minimally invasive internal fixation. The clinical efficacy, surgical related indicators, VAS score, AOFAS score, SF-36 score, fracture healing time, Bohler angle, Gissane angle and complication rate of the two groups were compared.
Results: The effective rate of 96.77% in the observation group was significantly higher than that of 77.42% in the control group (P, VAS score (1.23 ± 0.15) was lower in the observation group, AOFAS score (93.12 ± 5.08) and SF-36 score (84.32 ± 5.12) were higher (P<0.05). The incidence of complications in the observation group was 6.45%, which was significantly lower than that in the control group (29.03%).
Conclusion  : Compared with the effect of open reduction, minimally invasive internal fixation for calcaneal fracture patients has significant effect, less trauma, shorter recovery time, and is conducive to prognosis. However, the best surgical method should be selected according to the actual condition of patients.