经跗骨窦入路结合型解剖板治疗Sanders Ⅱ/Ⅲ型跟骨骨折

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Abstract Objective To explore the short-term clinical effect of transtarsal sinus incision combined with calcaneal mini-anatomical plate in the treatment of Sanders type Ⅱ/Ⅲ calcaneal fractures.Methods A retrospective study was conducted to analyze the clinical data of 18 patients (19 cases) with closed calcaneal fracture treated by tarsal sinus approach combined with calcaneal wound anatomical plate from the orthopaedic center of People’s Hospital Affiliated to Hubei University of Medicine from June 2016 to June 2018.There were 12 males (1 bilateral calcaneal fracture)，7 females.The age ranged from 22 to 65 years，with an average of (38.1±5.6) years.Sanders classification：8 cases of type Ⅱ and 11 cases of type Ⅲ.Transtarsal sinus approach and calcaneal combined minimally invasive anatomical plate were used for internal fixation.Results The patients were followed up for 12 to 18 months，with an average of (13.5±1.5) months.According to the foot function，the ankle-hind foot scoring criteria of the American orthopaedic foot and ankle society (AOFAS) were used：There were excellent in 16 cases，good in 2 cases，fair in 1 case，the excellent，and good rate was 94.7%.Conclusion In the treatment of Sanders type Ⅱ and Ⅲ calcaneal fractures，transtarsal sinus incision combined with calcaneal combined minimally invasive anatomical plate can effectively restore the morphological characteristics of calcaneus and facilitate the recovery of ankle function.Its prognosis is good，and it can be used as a surgical method for Sanders type Ⅱ/Ⅲ calcaneal fractures.

Key words： calcaneal fracture tarsal sinus approach calcaneal minimally anatomical plate

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