通过改良的跗窦方法进行额外的游离距骨螺钉固定对关节内小关节骨折的影响。

IF 2.8 3区 医学 Q1 ORTHOPEDICS
Yongyang Sun, Yingluo Gu, Ke Xu, Nan Yi, Jiaju Zhao, Yong Zhang, Bo Jiang
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引用次数: 0

摘要

背景介绍小腿骨骨折是最常见的跗骨骨折类型。滑脱韧带(ST)为跗骨骨折提供了解剖学上的稳定性,最近,ST螺钉已被广泛用于治疗跗骨骨折。本研究旨在探讨通过改良跗骨窦入路(MSTA)进行ST螺钉固定治疗移位性关节内小关节骨折(DIACFs)的临床疗效和价值:这项研究共招募了 64 名患者(64 英尺):方法:该研究共招募了64名患者(64只脚):32名患者参加了小关节锁定钢板联合ST螺钉组(CLP-STS组),32名患者参加了单纯小关节锁定钢板内固定组(CLP组)。最短随访时间为 18 个月。踝关节功能采用 VAS、AOFAS 和 Short Form-36 评分进行评估。影像学评估包括Böhler角、Gissane角、小腿骨的长度、高度和宽度,以及两组患者术后1年的Böhler角:功能评估显示,CLP-STS组术后AOFAS和VAS评分明显优于CLP组。术后,Böhler角、Gissane角以及小腿骨的长度、高度和宽度与术前相比均有明显矫正,但两组之间的这些指标差异并不显著。不过,在术后1年的随访中,CLP-STS组的小腿骨Böhler角损失明显优于CLP组:结论:与单纯的小关节锁定钢板内固定术相比,将钢板与附加的游离 ST 螺钉结合使用可解决 MSTA 术中暴露受限的问题,减轻患者术后足部疼痛,提高临床疗效。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Effect of additional free sustentaculum tali screw fixation through modified sinus tarsi approach on intra-articular calcaneal fractures.

Background: Calcaneal fractures are the most common type of tarsal fractures. The sustentaculum tali (ST) offers anatomical stability in calcaneal fractures, and recently, ST screws have been widely used in their treatment. This study aimed to investigate the clinical efficacy and value of ST screw fixation via a modified sinus tarsi approach (MSTA) for treating displaced intraarticular calcaneal fractures (DIACFs).

Methods: This study enrolled 64 patients (64 feet): 32 patients in the calcaneal locking plate combined with the ST screw group (CLP-STS Group) and 32 patients in the simple calcaneal locking plate internal fixation group (CLP Group). The minimum follow-up duration was 18 months. Ankle function was evaluated using VAS, AOFAS, and Short Form-36 scores. Imaging evaluation included the Böhler angle, Gissane angle, length, height, and width of the calcaneus, and the Böhler angle in both groups 1 year after surgery.

Results: Functional evaluation revealed that postoperative AOFAS and VAS scores in the CLP-STS Group were significantly better than those in the CLP Group. After surgery, the Böhler angle, Gissane angle, and length, height, and width of the calcaneus were significantly corrected compared to the preoperative values; however, the difference in these indicators between the two groups was not significant. Nevertheless, at the 1-year postoperative follow-up, the calcaneal Böhler angle loss in the CLP-STS Group was significantly better than that in the CLP Group.

Conclusion: Compared to simple calcaneal locking plate internal fixation, combining the plate with the additionally free ST screw can resolve the limited intraoperative exposure of MSTA, reduce postoperative foot pain in patients, and improve clinical efficacy.

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来源期刊
CiteScore
4.10
自引率
7.70%
发文量
494
审稿时长
>12 weeks
期刊介绍: Journal of Orthopaedic Surgery and Research is an open access journal that encompasses all aspects of clinical and basic research studies related to musculoskeletal issues. Orthopaedic research is conducted at clinical and basic science levels. With the advancement of new technologies and the increasing expectation and demand from doctors and patients, we are witnessing an enormous growth in clinical orthopaedic research, particularly in the fields of traumatology, spinal surgery, joint replacement, sports medicine, musculoskeletal tumour management, hand microsurgery, foot and ankle surgery, paediatric orthopaedic, and orthopaedic rehabilitation. The involvement of basic science ranges from molecular, cellular, structural and functional perspectives to tissue engineering, gait analysis, automation and robotic surgery. Implant and biomaterial designs are new disciplines that complement clinical applications. JOSR encourages the publication of multidisciplinary research with collaboration amongst clinicians and scientists from different disciplines, which will be the trend in the coming decades.
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