Observation on therapeutic effect of self-made auxiliary reduction device combined with sinus tarsi approach in treatment of Sanders type Ⅱ to Ⅳ calcaneal fractures

ZHOU Yu; TANG Da-gang; PENG Wei; HU Xiao-bo; CHEN Zhi; LONG Peng; KUANG Zhi-ping; ZHANG Chuan-zhi

doi:10.11659/jjssx.09E024099

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Observation on therapeutic effect of self-made auxiliary reduction device combined with sinus tarsi approach in treatment of Sanders type Ⅱ to Ⅳ calcaneal fractures

Clinical Research | 更新时间：2025-07-23

- Observation on therapeutic effect of self-made auxiliary reduction device combined with sinus tarsi approach in treatment of Sanders type Ⅱ to Ⅳ calcaneal fractures
- JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY Vol. 34, Issue 7, Pages: 604-609(2025)
- 作者机构：
  
  重庆市中医院骨科，重庆 400010
- 作者简介：
- 基金信息：
- DOI：10.11659/jjssx.09E024099
  CLC： R683.42
- Received：18 September 2024，
  
  Published：25 July 2025
- 稿件说明：
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周庾,唐大刚,彭维等.自制辅助复位装置结合经跗骨窦入路治疗跟骨SandersⅡ~Ⅳ型骨折的疗效观察[J].局解手术学杂志,2025,34(07):604-609.

ZHOU Yu,TANG Da-gang,PENG Wei,et al.Observation on therapeutic effect of self-made auxiliary reduction device combined with sinus tarsi approach in treatment of Sanders type Ⅱ to Ⅳ calcaneal fractures[J].JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY,2025,34(07):604-609.
周庾,唐大刚,彭维等.自制辅助复位装置结合经跗骨窦入路治疗跟骨SandersⅡ~Ⅳ型骨折的疗效观察[J].局解手术学杂志,2025,34(07):604-609. DOI： 10.11659/jjssx.09E024099.

ZHOU Yu,TANG Da-gang,PENG Wei,et al.Observation on therapeutic effect of self-made auxiliary reduction device combined with sinus tarsi approach in treatment of Sanders type Ⅱ to Ⅳ calcaneal fractures[J].JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY,2025,34(07):604-609. DOI： 10.11659/jjssx.09E024099.

摘要

目的

观察自制辅助复位装置结合跗骨窦入路（STA）治疗跟骨Sanders Ⅱ~Ⅳ型骨折的效果。

方法

选择我院2023年1―6月收治的40例跟骨Sanders Ⅱ~Ⅳ型骨折患者，按随机数字表法分为对照组和观察组，每组20例。对照组患者使用足跟扩大外侧L形入路（ELA）进行手术治疗，观察组患者采用辅助复位装置结合STA进行手术治疗。比较2组患者手术相关指标、术后并发症情况及足踝解剖学指标，采用美国足踝外科学会（AOFAS）踝-后足评分量表及Maryland足功能评分评估患肢功能恢复情况。

结果

2组患者的手术时间、术后切口干燥时间、术后疼痛持续时间比较，差异无统计学意义（

0.05）；观察组患者的术后拆线时间短于对照组，差异具有统计学意义

（

0.05）。观察组患者切口皮缘坏死发生率及并发症总发生率均低于对照组（

0.05）。2组患者术后Böhler角、Gissane角均较术前增大（

0.05）；2组患者术后Böhler角、Gissane角比较，差异无统计学意义（

0.05）。观察组患者仅术后1周AOFAS评分高于对照组（

0.05），其他时间点2组患者的AOFAS评分和Maryland评分比较，差异均无统计学意义（

0.05）。

结论

辅助复位装置结合STA治疗跟骨SandersⅡ~Ⅳ型骨折可有效恢复足踝功能，而且术后拆线时间短，术后并发症发生率低。

Abstract

Objective

To observe the efficacy of self-made auxiliary reduction device combined with sinus tarsi approach （STA） in the treatment of Sanders type Ⅱ to Ⅳ calcaneal fractures.

Methods

A total of 40 patients with Sanders type Ⅱ to Ⅳ calcaneal fractures admitted to our hospital from January to June 2023 were selected and divided into the control group and the observation group by the random number table method， with 20 cases in each group. Patients in the control group underwent surgical treatment with the heel extensile lateral approach （ELA）， while patients in the observation group underwent surgical treatment with the auxiliary reduction device combined with STA. The surgical-related indicators， postoperative complications and ankle-foot anatomical indicators of patients in the two groups were compared. The recovery of limb function was evaluated by the American Orthopaedic Foot and Ankle Society （AOFAS） ankle-hindfoot scale and Maryland foot function score.

Results

There was no statistically significant difference in the operation time， postoperative incision drying time， or duration of postoperative pain between the two groups （

0.05）. The postoperative suture removal time of the patients in the observation group was shorter than that of the control group， and the difference was statistically significant （

0.05）. The incidence of skin edge necrosis of incision and the total incidence of complications

of patients in the observation group were significantly lower than those in the control group （

0.05）. The Böhler angle and Gissane angle of patients in both groups increased after surgery compared with those before surgery （

0.05）； there was no statistically significant difference in the Böhler angle or Gissane angle after surgery of patients between the two groups （

0.05）. The AOFAS score1 week after surgery of the patients in the observation group was higher than that in the control group （

0.05）， while there were no statistically significant differences in the AOFAS scores or Maryland scores of patients at other time points between the two groups （

0.05）.

Conclusion

The use of the auxiliary reduction device in surgical treatment with STA for Sanders type Ⅱ to Ⅳ calcaneal fractures can effectively restore the function of the foot and ankle， with short postoperative suture removal time and low incidence of postoperative complications.

关键词

Keywords

references

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