Minimally invasive plate fixation in the treatment of calcaneal fractures

Abstract

Objective To investigate the clinical effect of minimally invasive plate fixation in the treatment of calcaneal fractures. Methods 68 patients with calcaneal fractures were selected as the research subjects, they were randomly divided into the control group and observation group, 34 cases in each group.The control group received open reduction and plate internal fixation, while the observation group was treated with minimally invasive plate fixation.The clinical results and complications of the two groups were observed. Results The excellent and good rate was 94.12% in the observation group, which was significantly higher than 79.41% in the control group, the difference was statistically significant(χ2=9.397 6, P<0.05).The Bohler angle and Gissane angles in the control group were (28.67±2.04)°, (121.87±8.23)° after treatment, which were significantly higher than (6.45±1.21)°, (101.65±8.56)° before treatment.After treatment, the Bohler angle and Gissane angles of the observation group were (32.56±3.25)°, (129.45±12.86)°, which were significantly higher than (6.36±1.26)°, (101.54±8.27)° of the control group, the differences were statistically significant(P<0.05), and the increase of Bohler angle and Gissane angle of the observation group was more obvious than the control group.The incidence rate of complication in the observation group was 2.94%, which was lower than 8.82% in the control group, the difference was statistically significant(χ2=3.923 7, P=0.047 7). Conclusion Minimally invasive plate fixation in the treatment of calcaneal fractures has significantly smaller incision, and can reduce the incidence of complications, it is worthy of clinical application. Key words: Fractures; Calcaneus; Fracture fixation, internal