Comparison of TightRope system versus plate-screw internal fixation for avulsion fractures of the posterior calcaneal tuberosity of Beavis type Ⅱ
10.3760/cma.j.cn115530-20241104-00433
- VernacularTitle:TightRope系统与拉力螺钉联合钢板治疗Beavis Ⅱ型跟骨后结节撕脱骨折的疗效比较
- Author:
Jingjing ZHAO
1
;
Zhenhua FANG
1
;
Ruokun HUANG
1
;
Mingjuan HE
1
Author Information
1. 武汉市第四医院骨科足踝外科中心，武汉 430033
- Publication Type:Journal Article
- Keywords:
Calcaneus;
Fractures, bone;
Internal fixators;
Achilles tendon;
Fracture healing
- From:
Chinese Journal of Orthopaedic Trauma
2025;27(7):565-570
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To compare the effectiveness of TightRope system and plate-screw internal fixation in the treatment of avulsion fractures of the posterior calcaneal tuberosity of Beavis type Ⅱ.Methods:A retrospective study was conducted to analyze the clinical data of the 42 patients with avulsion fracture of the posterior calcaneal tuberosity of Beavis type Ⅱ who had undergone surgical treatment at Foot-ankle Surgery Center, The Fourth Hospital of Wuhan from January 2019 to January 2024. There were 25 males and 17 females, with an age of (64.4±10.1) years. The left side was affected in 23 cases and the right side in 19 cases. The patients were divided into 2 groups according to their different ways of internal fixation: a TR group of 22 cases subjected to open reduction and internal fixation with TightRope system and a PS group of 20 cases subjected to open reduction and plate-screw internal fixation. The operation time, bone healing time, complications, and American Orthopaedic Foot & Ankle Society (AOFAS) ankle-hindfoot score, MOS item short form health survey (SF-36) score and visual analogue scale (VAS) at 12 months after operation were compared between the 2 groups.Results:There were no significant differences in the preoperative clinical baseline data between the 2 groups, indicating comparability ( P>0.05). All patients were followed up for (19.9±3.1) months. In the TR group, the operation time [(59.3±7.1) min] was significantly shorter than that in the PS Group [(72.1±10.7) min], the incidence of complications [4.5% (1/22)] significantly lower than that in the PS group [35.0% (7/20)], and the AOFAS ankle-hindfoot score [(83.5±8.2) points] and SF-36 scale score [(88.2±5.3) points] were significantly higher than those in the PS Group [(64.4±10.8) points and (78.6±11.2) points] (all P<0.05). There was no significant difference in the bone healing time or VAS pain score at 12 months after operation between the 2 groups ( P<0.05). Conclusions:In the treatment of avulsion fractures of the posterior calcaneal tuberosity of Beavis type Ⅱ, compared with the plate-screw internal fixation, the TightRope system can shorten operation time, improve functional recovery, and reduce complications.
