Changes of related angles in calcaneal fractures treated with cannulated screw internal fixation via a small incision sinus tarsi approach
- VernacularTitle:经跗骨窦入路小切口空心螺钉内固定治疗跟骨骨折相关角度变化
- Author:
Tie-cheng LIU
1
;
Da-lin WANG
1
Author Information
- Publication Type:Journal Article
- Keywords: calcaneal fracture; Bohler angle; Gissane angle; sinus tarsi approach; cannulated screw internal fixation; lateral L-shaped approach combined with steel plate internal fixation
- From: Journal of Regional Anatomy and Operative Surgery 2025;34(1):49-54
- CountryChina
- Language:Chinese
- Abstract: Objective To investigate the effect of cannulated screw internal fixation via a small incision sinus tarsi approach on calcaneal related angles in patients with calcaneal fractures.Methods A total of 107 patients with calcaneal fractures who were treated in our hospital from June 2020 to July 2023 were selected,and they were divided into the group A(n=56,underwent lateral L-shaped approach combined with steel plate internal fixation) and group B (n=51,underwent cannulated screw internal fixation via a small incision sinus tarsi approach). The Bohler angle,Gissane angle,calcaneal width,calcaneal height,American Orthopaedic Foot and Ankle Association (AOFAS) Maryland foot function score,and visual analogue scale (VAS) score before and after surgery were compared between the two groups. The correlations between the imaging data before and after surgery,their correlation with the AOFAS Maryland foot function score and VAS score,and the correlations between the difference in imaging indexes before and after surgery and the improvement rates of Maryland foot function score and VAS score were analyzed by Pearson method. Results The Bohler angle,Gissane angle,calcaneal width,and calcaneal height after surgery in both groups were significantly improved compared with those before surgery (P<0.05). The group B had smaller Bohler angle 1 month after surgery,and greater Bohler angle 3 months and 6 months after surgery,and Gissane angle and calcaneal width 3 months after surgery compared with those in group A (P<0.05). At 1,3,and 6 months after surgery,the VAS scores of both groups were significantly reduced compared with those before surgery (P<0.05),while the Maryland foot function scores were significantly increased compared with those before surgery (P<0.05). The Maryland foot function scores and VAS scores 1,3,and 6 months after surgery of the group B were significantly better than those of the group A(P<0.05). The Bohler angle,calcaneal width,Gissane angle,and calcaneal height were all correlated before and after surgery (P<0.05);before surgery,the calcaneal width and height were not correlated with the Maryland foot function score or VAS score (P>0.05),while the Bohler angle and Gissane angle were correlated with the Maryland foot function score and VAS score (P<0.05);after surgery,the Bohler angle,calcaneal width,Gissane angle,and calcaneal height were all correlated with the Maryland foot function score and VAS score (P<0.05). The differences in Bohler angle,Gissane angle,calcaneal width,and calcaneal height before and after surgery were correlated with the improvement rates of Maryland foot function score and VAS score (P<0.05). Conclusion The Bohler angle,Gissane angle,and calcaneal height all increase,while the calcaneal width decrease after treated with cannulated screw internal fixation via a small incision sinus tarsi approach in calcaneal fractures,which has better therapeutic effect than that of lateral L-shaped approach combined with steel plate internal fixation. The changes in the Bohler angle,Gissane angle,calcaneal width,and calcaneal height are correlated with the clinical efficacy.
