Clinical Efficacy of Calcaneal Fracture Treatment with Tarsal Sinus Small Incision Internal Fixation Combined with Traditional Chinese Medicine Orthopaedic Manipulation
WU Jingwen, et al
Qingyuan Traditional Chinese Medicine Hospital, Guangdong Guangzhou 511599, China
Abstract：Objective: To investigate the clinical efficacy of calcaneal fracture treatment with tarsal sinus small incision internal fixation combined with traditional Chinese medicine orthopaedic manipulation. Methods: A retrospective analysis was conducted on 80 patients with calcaneal fracture in Qingyuan Traditional Chinese Medicine Hospital from January 2018 to June 2022. According to different treatment plans, they were divided into two groups. The observation group was treated with tarsal sinus small incision internal fixation combined with traditional Chinese medicine orthopaedic manipulation, and the control group was treated with tarsal sinus small incision internal fixation. The general data and imaging parameters of the patients in the two groups were collected, and the operation time, intraoperative blood loss, length of hospital stay, pain score, calcaneal parameters, ankle function, and complications were analyzed. Results: There was no statistically significant difference in gender, age, and other data between the two groups (P>0.05). The intraoperative blood loss and length of hospital stay in the observation group were significantly lower than those in the control group (P<0.05). There was no statistically significant difference in the operation time between the two groups (P>0.05). With the extension of the postoperative time, the VAS pain scores of the patients in both groups decreased, and the observation group had a greater decrease, with a statistically significant difference (P<0.05). There was no statistically significant difference in the Gissane angle, Bohler angle, Pitch angle, and ankle score between the two groups before surgery (P>0.05). Compared with the preoperative values, the Gissane angle, Bohler angle, and Pitch angle increased, and the ankle score increased in both groups after surgery, with a statistically significant difference (P<0.05). There was a statistically significant difference in the changes of Gissane angle, Bohler angle, Pitch angle, and ankle score before and after surgery between the two groups (P<0.05). The incidence of complications in the observation group was 2.38%, which was lower than that in the control group (5.26%), but the difference was not statistically significant (χ2=1.065, P>0.05). Conclusion: The clinical efficacy of calcaneal fracture treatment with tarsal sinus small incision internal fixation combined with traditional Chinese medicine orthopaedic manipulation is better. It can cooperate with the surgical process, make up for the defect of insufficient exposure, achieve the purpose of good reduction, and shorten the hospital stay, reduce the intraoperative blood loss, and reduce the pain degree. It can promote the recovery of foot function and fracture end anatomical structure, and has a high safety.
巫敬文, 周琦石, 陈信军, 杨林. 跗骨窦小切口入路内固定术配合中医正骨手法治疗跟骨骨折的临床疗效评价[J]. 河北医学, 2024, 30(4): 635-640.
WU Jingwen, et al. Clinical Efficacy of Calcaneal Fracture Treatment with Tarsal Sinus Small Incision Internal Fixation Combined with Traditional Chinese Medicine Orthopaedic Manipulation. HeBei Med, 2024, 30(4): 635-640.
2024, Vol. 30 
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