A comparative study of open reduction with internal fixation and percutaneous poking reduction fixation for the treatment of Sanders type II calcaneal fractures

作者：Zhan, Junfeng; Zhu, Nan; Fang, Wang; Jing, Juehua^*

来源：International Journal of Clinical and Experimental Medicine, 2016, 9(6): 11997-12003.

• Calcaneal fractures
• percutaneous poking reduction fixation
• open reduction with internal fixation

Objective: To compare and analyze the clinical efficacy of open reduction with internal fixation and percutaneous poking reduction fixation for Sanders type II calcaneal fractures. Methods: A total of 57 patients with calcaneal fractures were randomly divided into the poking group (27 cases, underwent percutaneous poking reduction) and the incision group (30 cases, underwent open reduction with internal fixation). The operation time, drainage volume, intraoperative blood loss, and hospitalization days were recorded. During the postoperative follow-up, fracture healing and incidence of complications were observed and recorded for both groups. At the last follow-up, Visual Analog Scale (VAS), American Orthopaedic Foot and Ankle Society (AOFAS) score, and the MOS item short form health survey (SF-36) were used to evaluate the clinical efficacy. Results: The operation time, drainage volume, intraoperative blood loss and hospitalization days in poking group were significantly less than those in the incision group, with statistically significant differences (P<0.05). In the postoperative follow-up, it was found that there was no significant difference in fracture healing time between the two groups. The incidence of complications was 3.70% in poking group, significantly lower than 10.00% in incision group (P<0.05). The Bohler and Gissane angles were significantly improved after surgery in both groups (P<0.05), but there was no significant difference between the two groups after surgery (P>0.05). At the last follow-up, VAS and SF-36 scores in the poking group were significantly higher than those in the incision group (P<0.05). There was no significant difference in excellent and good rate between the poking group and the incision group (P>0.05). Conclusion: Percutaneous poking reduction fixation can effectively reduce the incidence of postoperative complications and significantly improve the clinical efficacy and outcomes in treatment of Sanders II calcaneal fractures, so it is an efficient treatment method for calcaneal fractures.

• 出版日期2016
• 单位安徽医科大学