Multiple Precision Prying Reduction And Internal Fixation For Sanders Ⅱ-Type Ⅲ Curative Effect Analysis Of Calcaneal Fractures

Abstract:objective:to study the multiple precision prying reset the minimally invasive technique for the curative effect of treatment of calcaneal fractures.Methods:a prospective study from January 2014 to February 2016 in our hospital during the surgery treatment of 48 patients with calcaneal fractures,it is divided into 24 cases of minimally invasive reset scores 26 feet(n = 24)and open reduction and the control group 24 cases of 25 feet(n = 24),minimally invasive reset group patients give multiple minimally invasive precision prying reduction and internal fixation treatment,open reduction and open reduction and internal fixation group was given the lateral expansion into the road treatment,compared two groups of patients with operation time,surgical blood loss,the average length of hospital stay,surgery,postoperative 1 year Gissane Angle,Bohler Angle and the heel bone morphology,postoperative complications and postoperative 1 year ankle function(application the foot Mayland ankle rating standard),statistical analysis of the data,the comparison results.Results:48 cases with follow-up time range of 11 to 15 months,two groups of average follow-up time of 13.5 months and 12.6 months respectively),minimally invasive reset group average operation time,surgical blood loss,such confinement,surgery,postoperative complications is less than the open reduction group,the difference statistically significant(P<0.05),minimally invasive group Gissane Angle,postoperative were Bohler Angle,heel bone height and width,postoperative ankle function compared with the open reduction group no significant statistical difference(P>0.05).Conclusion:comprehensive accurate prying reduction and internal fixation for calcaneal fracture surgery is an effective method for minimally invasive treatment of calcaneal fractures.