Effect for treatment of Sanders II and III calcaneal fractures with minimally invasive incision

Abstract

Objective To investigate the effect of Sanders Ⅱ and Ⅲ calcaneal fractures with minimally invasive incision combined with percutaneous reduction. Methods Thirty patients with calcaneal fractures from January 2015 to August 2017 in the First Central Hospital of Baoding City were retrospectively reviewed. The classification was 12 cases of Sanders type Ⅱ and 18 cases of type Ⅲ. All patients underwent small incision of the lateral calcaneus. Invasive combined with the reduction of treatment. There were 24 males and 6 females. The age ranged from 22 to 64 years old and the average age was (36±11) years. All patients were fresh closed fractures, including 12 on the left and 18 on the right. The time from injury to surgery was 3 to 10 days, with an average of (5.0±1.2) days. Postoperative follow-up was performed to observe the function and complications of the foot, the Bohler angle, the Gissane angle, the height and width of the calcaneus before and after the operation were compared. Results All patients were followed up satisfactorily, with an average follow-up of (10.0±2.9) months. The Maryland foot function score showed that the excellent rate of this method for the treatment of calcaneal fracture was 90.0%. Preoperative and postoperative Bohler angle were (10±4)° and (30±5)°, preoperative and postoperative of Gissane angle (91±5)° and (121±10)°, the comparison was statistical significance (t=-15.59, t=-17.62, both P<0.05). All patients had no complications such as skin necrosis, hematoma, obvious fracture, displacement and iliac tendonitis. Conclusions The treatment of minimally invasive minimally invasive of Sanders type Ⅱ and Ⅲ calcaneal fractures is satisfactory, with few complications, and can early operated. It is worthy of clinical promotion without waiting for the swelling to completely resolve after surgery. Key words: Calcaneus; Fractures, bone; Fracture fixation, internal; Minimally invasive surgical procedures