The effect of subtalar arthroscopy combined with fluoroscopy in the minimally invasive treatment of Sanders Ⅱ and Ⅲ calcaneal fractures
YAN Rong-liang
GAO Yan
CAO Li-hai
WANG Liang
LIU Hong-da
YANG Yue
CHEN Jiang-hua
ZHU Peng-fei
ZHAO Guo-zhi
Abstract：Objective To observe the effect of subtalar arthroscope combined with fluoroscopy in the minimally invasive treatment of Sanders Ⅱ and Ⅲ calcaneal fractures.Methods A total of 128 patients with SandersⅡ and Ⅲ calcaneal fractures admitted to Department of Foot and Ankle,Tangshan The Second Hospital from Jan.2019 to Apr.2022 were selected as research objects.The patients were divided into two groups according to the operation performed.Arthroscopy group:58 cases,subtalar arthroscope assisted with the internal fixation of the cannulation with minimally incision.Control group:70 cases,internal fixation of the bone plate with conventional lateral L-shaped incision.Surgical incision length,intraoperative blood loss,wound complications,operation time,fracture healing time and AOFAS score and pain VAS score one year postoperatively were compared between the two groups.Results The surgical incision of the arthroscopy group(3.05±0.91)cm was shorter than that of the control group(11.63±1.64)cm,and the differences were statistically significant(P＜0.05).The blood loss of the arthroscopy group(20.69±7.34)ml was less than that of the control group(227.07±92.37)ml,and the differences were statistically significant(P＜0.05).The operation time of the arthroscopy group(99.31±14.70)min was longer than that of the control group(63.29±8.55)min,and the differences were statistically significant(P＜0.05).The fracture healing time of the arthroscopic group(8.72±1.10)w was less than that of the control group(11.06±1.33)w,and the differences were statistically significant(P＜0.05).The AOFAS score of the arthroscopic group at 1 year follow-up(89.07±4.045)was higher than that of the control group(81.09±12.32),and the differences were statistically significant(P＜0.05).The VAS score of the arthroscopic group at 1 year follow-up(1.74±1.26)was higher than that of the control group(2.91±1.29),and the differences were statistically significant(P＜0.05).Conclusions Subtalar arthroscope combined with fluoroscopy in the minimally invasive treatment of Sanders Ⅱ and Ⅲ calcaneal fractures has good effects with the advantages of small incision,less bleeding and wound complications and rapid recovery while ensuring reliable fixation and satisfactory reduction.
Keywords：Subtalar jointArthroscopesCalcaneusFracture fixationinternal
Publication Date：2024-02-19
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：7( 93-99 )