| 周明敏 王亚全 周德春 王美福 周悌强.骨折切开复位内固定手术与经皮钢板内固定手术治疗
pilon Ⅲ型骨折的临床研究[J].,2014,14(3):493-496 |
| 骨折切开复位内固定手术与经皮钢板内固定手术治疗
pilon Ⅲ型骨折的临床研究 |
| Clinical Study on Fractures with Open Reduction and Internal Fixation withPercutaneous Plate Internal in Pilon Ⅲ Fracture |
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| DOI： |
| 中文关键词: 切开复位内固定 pilonⅢ型骨折 经皮钢板内固定 临床研究 |
| 英文关键词: ORIF Pilon Ⅲ fractures Percutaneous internal fixation Clinical research |
| 基金项目: |
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| 中文摘要: |
| 目的：分析比较切开复位内固定术与经皮钢板内固定术治疗pilonⅢ型骨折的临床疗效，为治疗pilon Ⅲ型骨折选择更好的
方法提供依据。方法：选取pilon Ⅲ型骨折患者71 例，随机分为对照组35 例和观察组36 例，比较两组的临床优良率、手术时间、
血肿吸收和恢复时间以及后遗症症的发生情况。结果：对照组和观察组的优良率分别为74.29%、94.44%，差异有统计学意义，P＜
0.05。观察组的手术时间、血肿吸收和恢复时间均较对照组有缩短，其中以手术时间和恢复时间差异显著，且不良反应相对较少，
P＜0.05。结论：切开复位内固定术治疗pilon Ⅲ型骨折疗效优于经皮钢板内固定术，能缩短手术及恢复所需时间，对改善患者的预
后有重大意义。 |
| 英文摘要: |
| Objective:To analyze and compare the clinical efficacy of open reduction and internal fixation with internal
percutaneous plate on Pilon Ⅲ Fracture, and to provide a good way to the treatment of pilon Ⅲ fractures.Methods:71 cases of pilon Ⅲ
fractures were selected, and were randomly divided into control group (35 cases) and observation group (36 cases). Clinical excellent
rate, operative time, hematoma absorption and recovery time as well as the occurrence of disease sequelae of patients were compared.Results:Excellent rates of the control group and the observation group were 74.29% and 94.44%, respectively (the difference was
statistically significant, P <0.05). Patients in observation group have the relatively fewer adverse reactions, the shorter operation time, the
shorter hematoma absorption and recovery time, compared to those in the control group (the differences of surgery and recovery time
were significant, P <0.05.).Conclusion:Clinical efficacy of open reduction and internal fixation on pilon Ⅲ fracture is superior than
percutaneous plate fixation. It can shorten the time required for surgery and recovery, and has a great significance for improving the
prognosis of patients . |
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