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跟骨锁定钢板治疗跟骨关节内粉碎性骨折的临床疗效及对术后康复的影响研究

Clinical Efficacy of Calcaneal Locking Plate in the Treatment of Comminuted Intra-articular Fractures of the Calcaneus and Its Impact on Postoperative Rehabilitation
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摘要 目的分析跟骨锁定钢板用于跟骨关节粉碎性骨折的疗效和对术后康复的影响。方法选取2020年3月至2023年3月浚县善堂中心卫生院收治的跟骨关节粉碎性骨折共70例患者进行研究,经随机数表法分成对照组(通过跟骨非锁定钢板开展内固定处理)与观察组(通过跟骨锁定钢板开展内固定处理)各35例,比较两组疗效、手术及术后恢复指标、治疗前后跟骨形态指标、并发症情况。结果观察组治疗有效率较对照组高,差异具有统计学意义(P<0.05)。两组术中失血量及手术时间相比差异无统计学意义(P>0.05),观察组住院以及骨折愈合时间较对照组短,差异具有统计学意义(P<0.05)。治疗前,两组跟骨高度、跟骨宽度、跟骨交叉角以及跟骨结节关节角等跟骨形态指标相比差异无统计学意义(P>0.05);治疗后,两组跟骨高度、跟骨结节关节角均较前增加,差异均有统计学意义(P<0.05),跟骨宽度、跟骨交叉角均较前降低,差异均有统计学意义(P<0.05),但组间相比差异无统计学意义(P>0.05)。观察组切口皮缘坏死、感染以及局部渗液等并发症占比较对照组低,差异均有统计学意义(P<0.05)。结论跟骨锁定钢板用于跟骨关节粉碎性骨折疗效理想,能缩短住院时间,促进骨折愈合,减少并发症出现,值得采用。 Objective To analyze the impact of locking plate on the treatment effects and postoperative rehabilitation for comminuted calcaneal fracture patients.Methods A total of 70 comminuted calcaneal fracture patients treated from March 2020 to March 2023 in Junxian Shantang Central Health Hospital were investigated.According to random number table,patients were assigned to control group(n=35,internal fixation without locking plate)and observation group(n=35,internal fixation with locking plate).The treatment effects,rehabilitation and bone morphology indexes,and surgical complications were compared.Results The effective rate of treatment in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05);the intraoperative bleeding volume and operation time between groups were not significantly different(P>0.05);the hospitalization and bone healing time in the observation group were significantly shorter than control group,and the difference was statistically significant(P<0.05);before treatment,there were no significant between-group differences about the bone morphology indexes like calcaneal height,calcaneal width,calcaneal cross angle and calcaneal joint angle(P>0.05);after treatment,the calcaneal height and calcaneal joint angle for two groups were increased,and the difference was statistically significant(P<0.05);the calcaneal width and calcaneal cross angle for two groups were reduced,and the difference was statistically significant(P<0.05);but no significant differences were observed between groups(P>0.05);the incidences of surgical complications like incisional skin edge necrosis,infections and local leakage in the observation group were significantly lower than control group,and the difference was statistically significant(P<0.05).Conclusion The use of calcaneal locking plate for comminuted calcaneal joint fractures has an ideal therapeutic effect,can shorten hospitalization time,promote fracture healing,and reduce the occurrence of complications.It is w
作者 杨礼波 张康鑫 YANG Libo;ZHANG Kangxin(Department of Orthopedic Surgery,Junxian Shantang Central Health Hospital,Hebi Henan 456262,China;Department of Orthopedics,Hebi People’s Hospital,Hebi Henan 456262,China)
出处 《临床研究》 2024年第4期47-50,共4页 Clinical Research
关键词 跟骨锁定钢板 粉碎性骨折 跟骨形态 并发症 locking plate comminuted fracture calcaneal morphology complications
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