The Clinical Comparison Between Ilizarov Technique Combined with Poking Reduction and Open Reduction Combined with Internal Fixation in the Treatment of Calcaneus Fractures
LIN Han1,LIU Sheng-xing2,QIAO Yong-jun3
1.Department of Orthopedics,Ledong People's Hospital,Ledong572500,Hainan,China; 2.the First Department of Orthopedics,the Second Hospital Affiliated to Hainan Medical University,Haikou570311，Hainan,China; 3.the First Department of Orthopedics,Xingyuan Hospital(the Forth Hospital)of Yulin,Yulin719000,Shaanxi,China
Abstract: ObjectiveTo research the clinical resluts of Ilizarov technique combined with poking reduction in the treatment of calcaneus fractures.MethodsThe clinical data of 44 patients with calcaneal fractures were analyzed retrospectively. There were 23 cases of the closed group and 21 cases of the open group. The open group were treated with open reduction and internal fixation. And the closed group were treated by Ilizarov brackets combined with poking reduction. It was compared of the clinical indicators and postoperative recovery in these two groups.ResultsThere was no significant difference in fracture healing time between the two groups (P>0.05). Operation time, blood loss and length of hospital stay in the closed group were (27.25±5.47)min, (41.21±4.58)ml and (8.42±1.13)d respectively, which were significantly lower than that of the open group, which was (61.82±8.25)min, (74.59±6.75)ml and (14.58±3.47)d respectively(P<0.05). The Bohler angle, axial angle and heel width in the closed group were 28.47°±2.41°, 19.12°±3.28° and (33.21±3.21)mm respectively, which were less than that of the open group, 31.35°±3.19°, 22.07°±4.19° and 37.46±3.63mm respectively. And the Gissane angle of the closed group was (131.55°±4.01°),which was significantly larger than the open group of 126.28°±3.44°(P<0.05). The calcaneal length in the closed group was(62.87±5.49)mm, which was slightly less than (63.03±5.57)mm of the open group, but there was no significant difference between the two groups (P>0.05). The excellent rate of the closed group and the open group was 82.61% and 76.19% respectively, and there was no significant difference between the groups (P>0.05).After operation, there was no obvious complication in the closed group, but it was 19.05% in the open group, and the difference between the two groups was statistically significant (P<0.05).ConclusionsIlizarov technique combined with percutaneous poking reduction can obtain the clinical treatment effect which is close to the open reduction and internal fixation with plates. However, it is with less trauma and quicker recovery of the percutaneous reduction combined with Ilizarov brackets.
林韩1，刘圣星2，乔永军3. Ilizarov技术配合撬拨复位与切开复位内固定术在治疗跟骨骨折上的临床疗效比较[J]. 中国现代手术学杂志, 2017, 21(6): 449-453.
LIN Han. The Clinical Comparison Between Ilizarov Technique Combined with Poking Reduction and Open Reduction Combined with Internal Fixation in the Treatment of Calcaneus Fractures. Chinese Journal of Modern Operative Surgery, 2017, 21(6): 449-453.
2017, Vol. 21 
