【摘要】 目的 探讨微创与传统术式治疗SandersⅢ型跟骨骨折的效果。方法 150例SandersⅢ型跟骨骨折患者随机分为观察组（微创复位内固定）与对照组（切开复位内固定），比较两组的临床疗效及并发症。结果 观察组的手术时间、术中出血量及住院时间均少于对照组，并发症发生率低于对照组（P <0.05）。术后6个月，两组的Bohler角、 Gissane角均大于术前（P <0.05），但组间比较，差异无统计学意义（P>0.05）。结论 微创复位内固定治疗SandersⅢ型跟骨骨折的手术时间短、出血量少、并发症少。更多还原

【Abstract】 Objective To explore the effects of minimally invasive surgery and traditional surgery in the treatment of Sanders Ⅲcalcaneal fracture. Methods 150 patients with Sanders Ⅲ calcaneal fracture were randomly divided into the observation group(minimally invasive reduction and internal fixation) and the control group(open reduction and internal fixation). The clinical efficacy and complications were compared between the two groups. Results The operation time, intraoperative blood loss amount and hospitalization time of the observation group were less than those of the control group, and the incidence of complications was lower than that of the control group(P<0.05). At 6 months after surgery, the Bohler angles and Gissane angles of the two groups were larger than those before surgery(P <0.05),but no significant difference was found between the two groups(P >0.05). Conclusions Minimally invasive reduction and internal fixation in the treatment of Sanders type Ⅲ calcaneal fracture has short operation time, less blood loss amount and few complications.更多还原