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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    • References(20)
  • [1]
    LEMS W F, PACCOU J, ZHANG J, et al. Vertebral fracture: Epidemiology, impact and use of dxa vertebral fracture assessment in fracture liaison services[J]. Osteoporos Int, 2021, 32(3): 399-411. doi: 10.1007/s00198-020-05804-3
    [2]
    ZHANG C, YE Z M, LIN P, et al. Lateral fracture-dislocation of the calcaneus: Case reports and a systematic review[J]. Orthop Surg, 2021, 13(3): 682-691. doi: 10.1111/os.12913
    [3]
    LI Z H, WU X B, ZHOU H C, et al. Cost-utility analysis of extensile lateral approach versus sinus tarsi approach in sanders type Ⅱ/Ⅲ calcaneus fractures[J]. J Orthop Surg Res, 2020, 15(1): 430. doi: 10.1186/s13018-020-01963-5
    [4]
    黄朱宋, 陈翔, 蓝锦福, 等. 跗骨窦切口微型钢板联合空心钉内固定与L形切口钢板内固定治疗跟骨骨折的疗效比较[J]. 中国骨与关节损伤杂志, 2020, 35(2): 205-207. https://www.cnki.com.cn/Article/CJFDTOTAL-GGJS202002037.htm

    HUANG Z S, CHEN X, LAN F J, et al. Comparison of the efficacy of tarsal sinus incision micro plate combined with hollow nail internal fixation and L-shaped incision plate internal fixation in the treatment of calcaneal fractures[J]. Chinese Journal of Bone and Joint Injury, 2020, 35(2): 205-207. https://www.cnki.com.cn/Article/CJFDTOTAL-GGJS202002037.htm
    [5]
    周亮, 徐宏宇, 周海东. 跗骨窦切口微型钢板结合空心钉内固定治疗跟骨骨折[J]. 临床骨科杂志, 2020, 23(6): 891-894. doi: 10.3969/j.issn.1008-0287.2020.06.046

    ZHOU L, XU H Y, ZHOU H D. Treatment of calcaneal fracture with mini-plate and cannulated screw internal fixation with tarsal sinus incision[J]. Journal of Clinical Orthopaedics, 2020, 23(6): 891-894. doi: 10.3969/j.issn.1008-0287.2020.06.046
    [6]
    李瑞, 曲鑫, 王玲. 跟骨骨折经皮复位固定术后渐进性康复与护理[J]. 实用临床医药杂志, 2020, 24(13): 71-74. https://www.cnki.com.cn/Article/CJFDTOTAL-XYZL202013022.htm

    LI R, QU X, WANG L. Progressive rehabilitation and nursing for calcaneal fractures after percutaneous reduction and fixation[J]. Journal of Clinical Medicine in Practice, 2020, 24(13): 71-74. https://www.cnki.com.cn/Article/CJFDTOTAL-XYZL202013022.htm
    [7]
    梁耘. 两种不同缝合方法对跟骨骨折术患者愈合情况、伤口血运及并发症的影响[J]. 实用医院临床杂志, 2019, 16(5): 163-166. https://www.cnki.com.cn/Article/CJFDTOTAL-YYLC201905049.htm

    LIANG Y. The effects of two different suture methods on healing, wound blood supply and complications of patients undergoing calcaneal fracture surgery[J]. Practical Journal of Clinical Medicine, 2019, 16(5): 163-166. https://www.cnki.com.cn/Article/CJFDTOTAL-YYLC201905049.htm
    [8]
    GALLUZZO M, GRECO F, PIETRAGALLA M, et al. Calcaneal fractures: Radiological and CT evaluation and classification systems[J]. Acta Biomed, 2018, 89(1-S): 138-150.
    [9]
    RODEMUND C, KRENN R, KIHM C, et al. minimally invasive surgery for intra-articular calcaneus fractures: A 9-year, single-center, retrospective study of a standardized technique using a 2-point distractor[J]. BMC Musculoskelet Disord, 2020, 21(1): 753. doi: 10.1186/s12891-020-03762-9
    [10]
    PENG Y, LIU J H, ZHANG G Z, et al. Reduction and functional outcome of open reduction plate fixation versus minimally invasive reduction with percutaneous screw fixation for displaced calcaneus fracture: A retrospective study[J]. J Orthop Surg Res, 2019, 14(1): 124. doi: 10.1186/s13018-019-1162-5
    [11]
    王彦志, 邢兆国, 贾东昭, 等. 跗骨窦切口微型板结合空心钉轴向固定治疗跟骨骨折疗效观察[J]. 现代中西医结合杂志, 2019, 28(28): 3124-3126, 3162. doi: 10.3969/j.issn.1008-8849.2019.28.011

    WANG Y Z, XING Z G, JIA D Z, et al. Observation on the curative effect of tarsal sinus incision micro plate combined with hollow nail axial fixation for calcaneal fracture[J]. Modern Journal of Integrated Traditional Chinese and Western Medicine, 2019, 28(28): 3124-3126, 3162. doi: 10.3969/j.issn.1008-8849.2019.28.011
    [12]
    谢建新, 郑小飞, 路磊, 等. 跗骨窦切口经皮撬拨空心钉内固定治疗SANDERS Ⅱ型跟骨骨折[J]. 临床骨科杂志, 2018, 21(5): 116-117, 120. https://www.cnki.com.cn/Article/CJFDTOTAL-LCGK201805048.htm

    XIE J X, ZHENG X F, LU L, et al. Percutaneous poking cannulated screw fixation and minimally invasive in treatment of Sanders type Ⅱ calcaneal fracture via calcaneal sinus incision[J]. Journal of Clinical Orthopaedics, 2018, 21(5): 116-117, 120. https://www.cnki.com.cn/Article/CJFDTOTAL-LCGK201805048.htm
    [13]
    洪伟武, 苏海涛, 彭嘉杰, 等. 经跗骨窦切口与传统L形切口治疗跟骨骨折: 系统评价与META分析[J]. 中国组织工程研究, 2020, 24(18): 2939-2944. doi: 10.3969/j.issn.2095-4344.2637

    HONG W W, SU H T, PENG J J, et al. Transtarsal sinus incision and traditional L-shaped incision for calcaneal fractures: a systematic evaluation and meta-analysis[J]. Chinese Journal of Tissue Engineering Research, 2020, 24(18): 2939-2944. doi: 10.3969/j.issn.2095-4344.2637
    [14]
    潘永雄, 洪劲松, 付小勇, 等. 经跗骨窦切口与经外侧L型切口治疗跟骨骨折在内侧壁与跟骨力线的比较研究[J]. 中华创伤骨科杂志, 2018, 20(12): 1095-1100. doi: 10.3760/cma.j.issn.1671-7600.2018.12.015

    PAN Y X, HONG J S, FU X Y, et al. Comparison of sinus tarsi and lateral L-shaped approaches in medial wall reduction and calcaneal alignment in treatment of calcaneal fractures[J]. Chinese Journal of Orthopaedic Trauma, 2018, 20(12): 1095-1100. doi: 10.3760/cma.j.issn.1671-7600.2018.12.015
    [15]
    廉养杰. 跗骨窦切口空心螺钉内固定治疗对SANDERS Ⅲ型跟骨骨折患者BOHLER角、GISSANE角、跟骨高度与宽度的影响[J]. 实用临床医药杂志, 2019, 23(2): 14-17. https://www.cnki.com.cn/Article/CJFDTOTAL-XYZL201902005.htm

    LIAN Y J. Effects of hollow screw internal fixation of tarsal sinus incision on the Bohler angle, Gissane angle, calcaneus height and width in patients with Sanders type Ⅲ calcaneal fractures[J]. Journal of Clinical Medicine in Practice, 2019, 23(2): 14-17. https://www.cnki.com.cn/Article/CJFDTOTAL-XYZL201902005.htm
    [16]
    PFLVGER P, ZYSKOWSKI M, GREVE F, et al. Patient-reported outcome following operative and conservative treatment of calcaneal fractures: A retrospective analysis of 79 patients at short-to midterm follow-up[J]. Front Surg, 2021, 8: 620964. doi: 10.3389/fsurg.2021.620964
    [17]
    朱岩, 朱杰, 周光新, 等. 一期手术治疗63例CIERNY-MADER Ⅱ型及Ⅲ型慢性跟骨骨髓炎的单中心临床诊疗分析[J]. 中华全科医学, 2021, 19(10): 1654-1657, 1684. doi: 10.16766/j.cnki.issn.1674-4152.002134

    ZHU Y, ZHU J, ZHOU G X, et al. One-stage surgical treatment for Cierny-Mader type Ⅱ and Ⅲ chronic calcaneus osteomyelitis: Single-centre experience of 63 cases[J]. Chinese Journal of General Practice, 2021, 19(10): 1654-1657, 1684. doi: 10.16766/j.cnki.issn.1674-4152.002134
    [18]
    爱新觉罗启承, 李昶, 范永宏, 等. "八"字双切口钢板内固定治疗跟骨骨折常见并发症及影响因素分析[J]. 中国医药导报, 2019, 16(18): 69-72. https://www.cnki.com.cn/Article/CJFDTOTAL-YYCY201918018.htm

    AISINGIORO Q C, LI C, FAN Y H, et al. Analysis of common complications and influencing factors of "eightshaped" double incision steel plate internal fixation in the treatment of calcaneal fracture[J]. China Medical Herald, 2019, 16(18): 69-72. https://www.cnki.com.cn/Article/CJFDTOTAL-YYCY201918018.htm
    [19]
    RAMMELT S, SANGEORZAN B J, SWORDS M P. Calcaneal fractures - should we or should we not operate?[J]. Indian J Orthop, 2018, 52(3): 220-230.
    [20]
    SCHINDLER C, SCHIRM A, ZDRAVKOVIC V, et al. Outcomes of intra-articular calcaneal fractures: Surgical treatment of 114 consecutive cases at a maximum care trauma center[J]. BMC Musculoskelet Disord, 2021, 22(1): 234.
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