Abstract：Objective: To analyze the effects of small incision of tarsal sinus combined with manipulation on the function of ankle-posterior foot and fracture healing in patients with calcaneal fracture. Methods: 66 cases of calcaneal fractures patients treated in our hospital from December 2011 to January 2016 were divided into 31 cases in the traditional group and 35 cases in the observation group according to the different operative methods. In the traditional group, the lateral "L" shaped incision was used for internal fixation, and in the observation group, the tarsal sinus small incision combined with manipulation and internal fixation was used, all the patients were followed up for 3~24 months. The curative effect, postoperative calcaneal width, Bohler angle and Gissane angle, operative time, fracture healing time, the occurrence of complications such as incision margin necrosis, incision infection, and so on were observed and compared between the two groups. Results: The excellent rate of the observation group was significantly higher than that of the traditional group. The calcaneus width, Bohler angle and Gissane angle in the observation group were significantly better than those in the traditional group. The operative time and fracture healing time in the observation group were significantly shorter than those in the traditional group. The incidence of complications in the postoperative group was significantly higher than that in the observation group. Conclusion: Compared with the lateral L type incision internal fixation, the tarsal sinus small incision combined with manipulation for the treatment of calcaneal fracture is more beneficial to the recovery of ankle-posterior foot function and fracture healing, which can be used as the first choice for calcaneal fracture.
郎跃忠,黄永丰,闫飞. 跗骨窦小切口联合手法整复对跟骨骨折的疗效分析[J]. 河北医学, 2018, 24(10): 1688-1691.
LANG Yuezhong, HUANG Yongfeng, YAN Fei. Clinical Treatment Analysis on Effect of small Incision of Tarsal Sinus combined with Manipulative Reduction for Calcaneal Fractures. HeBei Med, 2018, 24(10): 1688-1691.
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2018, Vol. 24 
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