| 刘应忠 侯德泰△ 曹伟 薛健 马宝忠 陈海明 杨有有.分阶段闭合复位微创内固定与解剖型钢板内固定术治疗Pilon 骨折的疗效比较[J].,2016,16(10):1943-1945 |
| 分阶段闭合复位微创内固定与解剖型钢板内固定术治疗Pilon 骨折的疗效比较 |
| Comparison of Phased Closed Reduction of Minimally Invasive InternalFixation and Anatomic Plate Internal Fixation in Treatment of Pilon Fracture |
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| DOI： |
| 中文关键词: 微创内固定术 钢板内固定术 Pilon 骨折 疗效 |
| 英文关键词: Minimally invasive internal fixation Plate fixation Pilon fractures The curative effect |
| 基金项目: |
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| 中文摘要: |
| 目的：对比分阶段闭合复位微创内固定与解剖型钢板内固定术治疗Pilon 骨折的临床疗效。方法：选择自2013 年4月至
2015 年8 月我院骨科收治的Pilon 骨折患者122 例，按照随机数表法，将患者分为对照组和研究组，每组61 例。对照组患者行解
剖型钢板内固定术治疗，而研究组患者行分阶段闭合复位微创内固定术治疗。统计分析两组患者的手术指标，并通过放射学及踝
关节功能共同评价手术效果，术后进行半年的随访，对比两组患者并发症的发生情况。结果：研究组患者的手术时间、出血量、骨
折愈合时间及住院时间均明显低于对照组，且差异均具有统计学意义（P<0.05）；研究组患者放射学及踝关节功能的优良率显著高
于对照组（P<0.01）；研究组患者并发症发生率为4.92%(3/61)明显低于对照组的14.75%(9/61)（2=5.194，P=0.031）。结论：相比解
剖型钢板内固定术，分阶段闭合复位微创内固定术治疗Pilon 骨折临床效果更显著，并并发症的发生率低，可以作为治疗Pilon 骨
折的首选方法之一，值得在临床上推广使用。 |
| 英文摘要: |
| Objective:To compare the clinical efficacy of phase closed reduction of minimally invasive internal fixation and
anatomic plate internal fixation for treatment of Pilon fracture.Methods:A total of 122 patients with Pilon fracture, who were admitted to
Tianshui 407 Hospital fromApril 2013 to August 2015, were selected and randomly divided into control group(n=61) and research group
(n=61). The control group was treated with anatomical plate fixation, while the research group, with staged closed reduction of minimally
invasive internal fixation. The operation indicators of the two groups were analyzed statistically, and surgical effects were evaluated by
radiology and the function of ankle joint. In addition, the complications of the two groups were compared after 6 months of follow-up.Results:The operation time, blood loss, fracture healing time and hospital stay of patients in the research group were significantly lower
than those in the control group, the differences were statistically significant (P<0.05). The results of radiology and ankle function of the
patients in the research group were better than those of the control group (P<0.01). The incidence of complications[4.92% (3/61)] of the
research group was significantly lower than that[14.75%(9/61)] of the control group (X2=5.194, P=0.031).Conclusion:Compared with
anatomic plate internal fixation,phase closed reduction of minimally invasive internal fixation is better in the clinical curative effect; it
can reduce the incidence of complications and can be used as one of the preferred methods of treatment for pilon fracture, which is
worthy of clinical application. |
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