Abstract 【Objective】To analyze the effectiveness of minimally invasive sacral sinus approach for Sanders type Ⅱ calcaneal fractures. 【Methods】 A total of 60 patients who were diagnosed as Sanders type Ⅱ calcaneal fractures patients in Shaanxi University of Traditional Chinese Medicine Hospital from March 2013 to June 2019 were selected as the research subjects. According to the stochastic indicator method, patients were divided into the observation group and the control group, with 30 cases in each group. The control group was treated with lateral calcaneus approach, while the observation group was treated with minimally invasive surgery through the tarsal sinus approach. Surgical conditions, Bohler Angle, Gissane Angle, ankle and posterior foot functional scores (AOFAS), postoperative complications were compared between the two groups. 【Results】The operation time and average hospitalization time in the observation group were significantly shorter than those in the control group, the incision length and intraoperative blood loss in the observation group were significantly less than those in the control group ( P <0.05). The postoperative Bohler Angle and Gissane Angle in the two groups were higher than those before the operation. The Bohler Angle in the observation group was larger than that in the control group ( P <0.05), but there was no significant difference in Gissane Angle between the two groups after operation ( P >0.05). The excellent and good rate of AOFAS in the observation group was higher than that in the control group (90.00% vs 66.66%) ( χ2 =4.812, P =0.028). The incidence of postoperative complications in the observation group was significantly lower than that in the control group (13.34%vs36.66%) ( χ2 =4.356, P=0.037). 【Conclusion】Compared to the surgical treatment of lateral calcaneal approach, minimally invasive surgery of sacral sinus approach for Sanders type Ⅱ calcaneal fracture has achieved significant clinical efficacy, high safety, and can effectively reduce postoperative complications.
ZHANG Hua,YANG Wang-li. Clinical Study of Minimally Invasive Sacral Sinus Approach for Sanders Type Ⅱ Calcaneal Fracture[J]. JOURNAL OF CLINICAL RESEARCH, 2021, 38(3): 352-355.
2021, Vol. 38 
