Abstract

This study article was conducted to comparing the application effect of closed reduction with hollow screw internal fixation and open reduction with special-shaped plate internal fixation in calcaneal fracture. 60 patients with calcaneal fracture admitted to our hospital from April 2015 to April 2019 were selected, who were randomly divided into A group and B group, with 30 cases in each group. The A group was treated with closed reduction with hollow screw internal fixation, while the B group was treated with open reduction with special-shaped plate internal fixation. The operation time and bleeding volume during operation were compared, and the changes of calcaneal tubercle articular angle (Bohler angle) and calcaneal cross angle (Gissane angle) before operation and 3 mo after operation were compared, and the intraoperative and postoperative complications and functional recovery of affected foot were also compared. The operation time in the A group was significantly shorter than that in the B group (p<0.05), and the amount of bleeding during operation in the A group was significantly less than that in the B group (p<0.05). The Bohler angle and Gissane angle at 3 mo after operation in the 2 groups were significantly higher than those before operation (p<0.05), and there was no significant difference in Bohler angle and Gissane angle between the A group and B group at 3 mo after operation (p>0.05). There was no nerve injury in the 2 groups during operation, and the incidence rate of total postoperative complications in the A group was significantly lower than that in the B group (p<0.05). All patients were followed up for 3 to 15 mo, and there was no significant difference in the excellent and good rate of foot function recovery between the 2 groups at the last follow-up (p>0.05). Closed reduction with hollow screw internal fixation and open reduction with special-shaped plate internal fixation all are satisfactory of reduction of fracture in the treatment of calcaneal fracture, and the function of foot of them all recover well after operation, However, closed reduction with hollow screw internal fixation could shorten the operation time, reduce intraoperative bleeding and reduce postoperative complications.