Volume 20 Issue 7
Jul.  2022
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Article Navigation >  Chinese Journal of General Practice  > 2022  >  20(7): 1122-1125
ZHOU Ming-ping, ZHENG Qiang, ZOU Guang-yi. Analysis of complications and influencing factors of sinus tarsal incision mini-plate combined with hollow nail internal fixation for treatment of calcaneal fractures[J]. Chinese Journal of General Practice, 2022, 20(7): 1122-1125. doi: 10.16766/j.cnki.issn.1674-4152.002538
Citation: ZHOU Ming-ping, ZHENG Qiang, ZOU Guang-yi. Analysis of complications and influencing factors of sinus tarsal incision mini-plate combined with hollow nail internal fixation for treatment of calcaneal fractures[J]. Chinese Journal of General Practice, 2022, 20(7): 1122-1125. doi: 10.16766/j.cnki.issn.1674-4152.002538
shu

Analysis of complications and influencing factors of sinus tarsal incision mini-plate combined with hollow nail internal fixation for treatment of calcaneal fractures

doi: 10.16766/j.cnki.issn.1674-4152.002538
  • 1.

    Department of Orthopedics, the Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, Zhejiang 310000, China

Funds:

 2021PY032

  • Received Date: 2021-09-26
    Available Online: 2022-09-23
    Abstract
  •   Objective  To explore the complications and influencing factors of calcaneal fractures treated with tarsal sinus incision microplate combined with cannulated screw internal fixation.  Methods  From July 2018 to June 2020, 84 patients with calcaneal fractures admitted to the Department of Traumatology and Orthopaedics of the Second Affiliated Hospital of Zhejiang University School of Medicine were selected, and their clinical data were retrospectively studied. They were divided into control group and tarsal sinus group in accordance with different surgical procedure, with 42 cases in each group. The control group underwent lateral "L"-shaped incision internal fixation and the tarsal sinus group underwent minimally invasive tarsal sinus incision plate and cannulated screw axial internal fixation. The Bohler angle, Gissane angle, improvement rate of hind ankle and hindfoot function and complication rate were determined. Logistic regression was used to analyse the influencing factors of postoperative complications.  Results  The length of incision, the amount of blood loss, the time for detumescence and the time for healing and removing sutures in the sinus tarsi group were shorter than those in the control group, the differences were statistically significant (all P < 0.05). The Bohler angle was higher in the sinus tarsi group than in the control group and the difference was statistically significant (P < 0.05). On the contrary, no significant difference was found in the Gissane angle between the two groups (P>0.05). The total improvement rate of the sinus tarsi group was 90.5% (38/42), which was higher than that of the control group at 61.9% (26/42), and the difference was statistically significant (P < 0.05). The incidence of complications in the sinus tarsi group (28.6%, 12/42) was lower than that in the control group (50.0%, 21/42) and the difference was statistically significant (P < 0.05). Regression analysis showed that operation method, swelling time, suture removal time, Bohler angle, age, and functional improvement were independent risk factors for postoperative complications.  Conclusion  Tarsal sinus incision microplate combined with cannulated screw internal fixation is better than L-shaped incision in the treatment of calcaneal fractures. Factors such as surgical method, detumescence time, healing and suture removal time, Bohler angle, age and functional improvement affect the prognosis of surgery.

     

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