有限切开锁定钢板内固定治疗 67例胫骨Pilon骨折的疗效分析.docVIP

有限切开锁定钢板内固定治疗 67例胫骨Pilon骨折的疗效分析 　　摘要：目的:探究有限切开锁定钢板内固定治疗Pilon骨折的临床效果。方法:选取2011年3月~2013年12月我院收治的67例Pilon骨折患者为对照组，给予三叶草型固定板治疗；另选取同期收治的67例Pilon骨折患者为研究组，给有限切开锁定钢板内固定治疗，观察两组患者的治疗效果与术后并发症情况。结果:两组患者解剖复位率比较、Mazur 评分优良率比较、随访一年后延迟愈合比较比较P0.05，差异具有统计学意义。结论:有限切开锁定钢板内固定治疗Pilon骨折临床效果显著，关节复位率高，内固定稳固，术后并发症少，值得临床推广使用。 　　关键词：有限切开；锁定钢板；内固定；Pilon骨折 　　Limited open reduction and locking plate fixation in the treatment of 67 cases of tibial Pilon fracture analysis 　　Liu Guangrong Han Tichao Yang Chaoqun Wei Wencan(Linquan Peoples Hospital, Anhui Linquan 236400) 　　Abstract：Objective: To explore the clinical effect of limited open reduction and locking plate fixation in the treatment of Pilon fracture. Methods: 67 cases of Pilon from 2011 March ~2013 year in December in our hospital of fracture patients in control group, treated with cloverleaf plate in the treatment of 67 cases of Pilon were selected; fractures treated patients for the study group, given the limited incision and locking plate fixation, to observe the therapeutic effect and complications of two groups of patients after. Results: of the two patients, anatomic reduction rate of excellent and good rate of Mazur score comparison, after one year of follow-up delayed healing compare P 0.05, the difference was statistically significant. Conclusion: limited open reduction and locking plate fixation in the treatment of Pilon fractures of the significant clinical effect, joint reduction rate is high, stable internal fixation, fewer complications, is worthy of clinical use. 　　keyword：limited incision; locking plate; internal fixation; Pilon fracture 　　Pilon骨折是胫骨远端发生骨折后对关节面与干骺端造成波及，最终导致胫骨下段粉碎性骨折、关节面压缩的现象。Pilon骨折还容易引发严重的软组织挫伤及腓骨下段骨折，是临床上常见的关节内骨折类型之一，在踝关节与胫骨的骨折中占到4%~10%[1]。由于Pilon骨折具有高度不稳定性，且干骺端与关节软骨出现压缩粉碎性骨折，所以其致残率较高，治疗难度大。我院为寻找最佳的Pilon骨折治疗方式，对67例患者进行了有限切开锁定钢板内固定治疗，取得了较好的疗效，现将结果整理如下。 　　1资料与方法 　　1.1一般资料 　　选取2011年3月~2013年12月我院收治的67例Pilon骨折患者为对照组，另选取同期收治的67例Pilon骨折患者为研究组。对照组男性44例，女性23例；年龄18~65岁，平均年龄（48.5±15.7）岁；Ⅰ型例23例，Ⅱ型23例，Ⅲ型