The relationship between restoring Gissane angle and prognosis in calcaneal fracture surgery
10.3760/cma.j.issn.1673-4904.2015.10.014
- VernacularTitle:跟骨骨折手术Gissane角的恢复与预后的关系
- Author:
Lei ZHENG
;
Shujian QIN
- Publication Type:Journal Article
- Keywords:
Calcaneus;
Fractures;
bone;
Gissane angle
- From:
Chinese Journal of Postgraduates of Medicine
2015;38(10):748-750
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the relationship between restoring Gissane angle and prognosis in calcaneal fracture surgery. Methods Forty patients with single side calcaneal fracture (SandersⅡ-Ⅲ), Gissane angle changed more than 15°and having performed open reduction and internal fixation with steel plate were enrolled. In them, 25 patients (experimental group) recovered Gissane angle in surgery referencing the healthy side with X-rays. Another 15 patients (control group) didn't recover Gissane angle. The ratio of calcaneum height and length was measured at 1 week after surgery. At 6 and 12 months after surgery, the function were valued by Maryland score. Results The ratio of calcaneum height and length in experimental group was significantly higher than that in control group:0.60± 0.04 vs. 0.55±0.05, and there was statistical difference (P<0.05). All the patients were followed up. At 6 and 12 months after surgery, the Maryland score in experimental group were significantly higher than those in control group:(88.9± 5.7) scores vs. (80.5±7.3) scores and (89.5 ±5.5) scores vs. (82.5 ±6.4) scores, and there were statistical differences (P<0.05). Conclusions Restoring Gissane angle is benefitial for prognosis. So in calcaneal fracture surgery, the Gissane angle should be recovered as much as possible referencing the healthy side.
