Clinical Effect of Lateral Transverse Arc Incision and Extended L-shaped Incision with Open Reduction and Internal Fixation Surgery in the Treatment of Pulverizability Calcaneal Fracture
QI Yingjie
ZHENG Guanglei
Abstract：Objective:To analyze the clinical effect of lateral transverse arc incision and extended L-shaped incision with open reduction and internal fixation surgery in the treatment of pulverizability calcaneal fracture.Method:A total of 102 patients with pulverizability calcaneal fracture admitted to the Hangzhou Normal University Affiliated Hospital from September 2019 to December 2022 were retrospectively selected.The patients were divided into observation group (59 cases) and control group (43 cases) according to the different surgical approaches.The control group received open reduction and internal fixation with lateral transverse arc incision.The observation group was given extended L-shaped incision with open reduction and internal fixation.Perioperative indexes,complications,wound healing and related indexes were compared between the two groups.Result:The operative time,incision healing time and incision length in the observation group were longer than those in the control group,and the operative blood loss was higher than that in the control group,the differences were statistically significant (P<0.05).There was no significant difference in the incidence of postoperative complications between the two groups (P>0.05).There was no significant difference in incision healing between the two groups (P>0.05).At 1 month and 10 months after surgery,Barthel index and American Orthopaedic Foot and Ankle Society (AOFAS) scores in the observation group were higher than those in the control group,visual analogue scale (VAS) scores of the observation group was higher than that of control group 1 month after surgery,and VAS score was lower than that of the control group 10 months after surgery,the reduction rate in the observation group was higher than that in the control group 10 months after surgery,and the differences were statistically significant (P<0.05).Conclusion:During open reduction and internal fixation surgery of pulverizability calcaneal fracture,the extended L-shaped incision has relatively higher surgical damage than the lateral transverse arc incision,but it does not increase the safety risk,and the final reduction effect and recovery results are better.
Keywords：Pulverizability calcaneal fractureLateral transverse arc incisionExtended L-shaped incisionInternal fixation surgeryPostoperative recovery
Publication Date：2024-10-15
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 33-37 )