关节镜下机器人辅助与有限切开空心钉内固定术治疗SandersI、I型跟骨骨折的疗效对比

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中图分类号 R687.3 文献标识码A文章编号 2096-7721（2025）11-1866-06

Comparative study on the efficacy of robot-assisted versus limited open cannulated screw fixation with arthroscope for Sanders type II and III calcaneal fractures

LI Liang'，XUMingliang²，SHI Rongjian²，FENGHu'

（1.DepartmetfOrpeics，teliatedHspialfzouicalUesityuzh2Cin;DepaetOic Xuzhou Renci Hospital， Xuzhou 221004， China）

AbstractObjective：Tocomparetheeficacyofrobot-asstedandlimitedoencaulatedsrewfixationwiharthroscoeforSanders ⅡI and || calcaneal fractures.Methods： 94 patients with Sanders II and II calcaneal fractures who were treated at the Affiliated Hospital of Xuzhou Medical University from June 2O21 to June 2O23 were divided into the control group （ n =45，receivingarthroscopic limited open cannulated screw fixation） and the studygroup （ n： =49，receiving arthroscopic robot-assisted cannulated screw fixation） according to different surgicaletd.urgicalratioopratieitingti，aorativeloodlosshergle，anegle，alith sustentaculumtalifxatiorate，AmericanOrthopaedicFt&AnkleSciety（AOFS）akleindfootscoreat3monthsafersurgeyn complicationswerecomparedbetwenthetwogroups.Results：Comparedwiththecontrolgroup，thestudygrouphadsignificantlyshorter preoperativewaiitdsstraoeatiebdloss（O）reesigntdfesissaeglele calcaneal width between the two groups at 1，3，6，and 12 months postoperatively （ P> 0.05）. The success rate of sustentaculum tali fixation was significantlywerinhotrolgroup（P.O5）.At3otafersugeryesuygoupadgrOFAkle-dfotscosate control group （ P <0.05）.The total complication rate was higher in the control group than the study group （ P <0.05）. Conclusion：Arthroscopic robot-asistedcanlatedsefafndersIdlalaealfctushasadvaagsuchassotesrgicalduratioduced intraoperativebloodlos，lowercomplicationrates，andprecisefracturereduction，whichisofsignificantclinicalfcacy.

.eyWordsCalcaneal Fracture; Cannulated Screw; Arthroscope; Robot-assisted Surger

跟骨骨折占全身骨折的 1%～2% ，占跗骨骨折的60% ，其中约 75% 的病例累及距下关节，多由高处坠落或交通事故所致，常见于青壮年男性[1-4]。（剩余11667字）