【摘要】 目的比较跟骨骨折闭合复位螺钉内固定与切开复位钢板内固定的临床效果。方法回顾性分析2014年1月—2018年1月收治的跟骨骨折手术76例,根据治疗方法的不同,分为闭合复位组36例,切开复位组40例。所有患者随访时根据Maryland足踝功能评分标准评价手术疗效,X线评估骨折愈合及骨折块移位情况。结果所有患者均获得随访。Maryland足踝功能评分,闭合复位组(91.94±3.85)分,切开复位组(91.80±3.02)分,两组差异无统计学意义(t=0.07,P=0.47)。在手术切口愈合以及住院时长方面,闭合复位组评分较切开复位组有较优势。结论闭合复位螺钉内固定与切开复位钢板内固定在疼痛缓解、恢复日常生活功能、行走距离等方面均能取得良好的临床效果,但闭合复位螺钉内固定术可以减少发生手术切口愈合不良的风险。更多还原

【Abstract】 Objective To compare the clinical efficacy of percutaneous reduction and fixation and open reduction and fixation in the treatment of calcaneal fracture. Methods From January 2014 to January 2018, 76 patients with calcaneal fracture were treated. All patients were divided into two groups:36 patients were treated with percutaneous reduction and fixation; 40 patients were treated with open reduction and internal fixation. Maryland score was used to evaluate the function of ankles, and X-ray was reexamined to assess the healing of the fracture at the last follow-up. Results All patients were followed up. Maryland score was an average of(91.94±3.85) points in percutaneousgroup, and(91.80±3.02) points in open group, there was no significant difference between two groups(t =0.07, P=0.47). Percutaneous group had an advantage in incision healing and hospital stay. Conclusion The percutaneous group and open group both have a good efficacy of relief of pain、daily activities and walking distance. However the percutaneous reduction and fixation can reduce the risk of poor healing.更多还原