The efficacy analysis of arthroscopic reduction combined with percutaneous screw technique in the treatment of Sanders type Ⅱ and type Ⅲ calcaneal fractures
- VernacularTitle:关节镜下复位联合经皮螺钉技术治疗Sanders Ⅱ、Ⅲ型跟骨骨折的疗效分析
- Author:
Kang SONG
1
;
Yu DONG
1
;
Yongwen DAI
1
;
Deyuan ZHAO
1
;
Tienan SONG
1
;
Bo SONG
1
;
Gang XU
1
Author Information
- Publication Type:Journal Article
- Keywords: fracture; fracture fixation; arthroscopic examination; calcaneus; postoperative complications
- From: Tianjin Medical Journal 2025;53(11):1191-1196
- CountryChina
- Language:Chinese
- Abstract: Objective To explore the efficacy of arthroscopic reduction combined with percutaneous screw fixation in the treatment of Sanders types Ⅱ and Ⅲ calcaneal fractures.Methods Forty-eight patients with Sanders types Ⅱ and Ⅲcalcaneal fractures were divided into the arthroscopic reduction combined with percutaneous screw fixation(arthroscopy)group(n=23)and the tarsal sinus approach open reduction combined with screw internal fixation(tarsal sinus approach)group(n=25)according to different surgical methods and plans.The operative time,incision length,postoperative complications and secondary removal of internal fixation were compared between the two groups.Changes in B?hler's angle and Gissane's angle were evaluated and compared between the two groups at 3 months,6 months after operation and at the last follow-up.Additionally,the American Orthopaedic Foot&Ankle Society(AOFAS)ankle-hindfoot score and the visual analog scale(VAS)for pain were used to assess outcomes at the last follow-up.Results Compared with the tarsal sinus approach group,the incision length was reduced,the operation time was prolonged and the incidence of complications was decreased in the arthroscopic group(P＜0.05).At 3 months,6 months after the operation and the last follow-up,there were no significant differences in the B?hler Angle,Gissanes Angle,AOFAS and VAS scores between the arthroscopic group and the tarsal sinus approach group(P＞0.05).Conclusion Both groups of regimens can enable patients to achieve good postoperative therapeutic efficacy.However,under arthroscopic assistance,surgical incisions inherently possess minimally invasive advantages,while the incidence of postoperative complications is lower compared to the sinus tarsi approach.
