Comparative Study Of Percutaneous Reduction With Titanium Kirschner Wires Fixation And Open Reduction With Plate Fixation For Calcaneal Fractures

Objective: To compare the clinical efficacy of percutaneous reducti on with titanium Kirschner wires fixation and open reduction with plate fixation for calcaneal fractures.Methods: A retrospective analysis of 61 patients with Sanders type II and type ?calcaneal fractures treated i n our department from February 2016 to February 2019,including 31 c ases in the percutaneous and 30 cases in the incision groups.The study indicators of the two groups are hospitalization to operation time,oper ation time,intraoperative blood loss,hospitalization time,postoperative c omplications,morphology of the calcaneus before,after and at follow-up, excellent rate of AOFAS score at follow-up.Results: The time from ho spitalization to surgery,operation time,intraoperative blood loss,and ho spitalization time in the percutaneous group were significantly lower tha n those in the incision group.The differences were statistically significa nt(P<0.05).The Bohler angle and Gissane angle and the length,hei ght and width of the calcaneus were significantly improved in the two groups after operation,and there was no statistical difference(P>0.05).There was no statistical difference(P>0.05)in calcaneal morphology between the two groups at follow-up.The incidence of infection,flap n ecrosis,and total complications in the percutaneous group were significa ntly lower than those in the incision group,and the differences were sta tistically significant(P<0.05).There was no statistical difference(P>0.05)in the excellent and good rate of AOFAS between the two groups.Conclusions: Percutaneous pry reduction with titanium Kirschner wires f ixation for the treatment of calcaneal fractures has a significant effect,which can significantly improve the efficiency of surgery,reduce the incidence of postoperative complications,shorten the length of hospitalizatio n time,avoid the removal of internal fixations during secondary surgery,and is in line with modern minimally invasive treatment concepts.