Abstract
Category:
Trauma
Introduction/Purpose:
Compared the clinical effect of arthroscopy assisted reduction and application of sinus tarsal approach reduction when treating Sanders Ⅱ calcaneal fractures.
Methods:
It was a retrospective comparative study since August 2014 to February 2017.There are 68 cases with Sanders type Ⅱ displaced calcaneal fractures which was divided into two groups. Group 1 with 31 cases was treated with arthroscopy assisted reduction and percutaneous headless screws fixation. Group 2 with 37 cases was treated with reduction and internal fixation.
Results:
No statistically significant difference was found between the two groups compared with the time of fracture healing, the Maryland foot score and AOFAS, and the differences was not statistically significant(P>0.05). Compared with the open reduction group, arthroscopy group had lower VAS, the healing time of incision was significantly less, intraoperative and postoperative blood loss was less, and it had higher SF-36 score, the difference had statistical significance(P<0.001).
Conclusion:
Two different kinds of surgical treatment of Sanders type Ⅱ calcaneal fractures had good clinical outcomes, but the treatment of arthroscopy group had less injury, less pain after surgery, less complications of incision, and it was more helpful to improve patients quality of life.