Treatment of Fracture of the Calcaneus via Bone Axial X-Ray Image-Based Minimally Invasive Approach

Abstract

To discuss the values of two bone axial X-ray image-based minimally invasive approach surgeries in the diagnosis and treatment of fracture of the calcaneus, 80 patients diagnosed with fracture of the calcaneus by bone axial X-ray examination were selected and divided equally into the minimally invasive longitudinal approach (MILA) group (40 cases) and the sinus tarsal approach (STA) group (40 cases). Besides, the duration of operation, the incidence of complications, the time-to-start weight training, and the American Orthopaedic Foot and Ankle Society (AOFAS) foot function scoring system between the patients in the two groups were compared. The results showed that the duration of operation and incidence of complications among the patients in the MILA group ( 42.87 ± 5.12 minutes, 20%) were both superior to those among the patients in the STA group ( 60.43 ± 7.31 minutes, 32.5%). The time-to-start weight training in the MILA group was 5.2 weeks, which was obviously shorter than that in the STA group (5.7 weeks). The difference in AOFAS scores between the two groups was not significant. The walking pavement score in the MILA group ( 4.2 ± 0.37 points) was slightly higher than that in the STA group ( 3.3 ± 0.45 points), and the differences demonstrated statistical meaning ( P < 0.05 ). To sum up, the bone axial X-ray image is an essential examination method of diagnosing fracture of the calcaneus. The two minimally invasive methods both showed good clinical therapeutic effects. The operation of MILA was relatively shorter with fewer complications and is worthy of being promoted as an effective treatment method of fracture of the calcaneus.

Clinical effect analysis of plate fixation and screw fixation via tarsal sinus approach in the treatment of Sander Ⅱ Ⅲand Ⅳ calcaneal fracture

“…Bohler and Gissane are important indicators on lateral radiographs. The former re ects the height of the calcaneus and the degree of joint compression, while the latter re ects the position and displacement of the joint, axial radiographs were used to evaluate the extent of calcaneal widening [3] . The primary goal of treating calcaneal fractures is to reestablish the smooth articular surface and to restore the length, width, height, and alignment of the calcaneus.…”