复杂胫骨Pilon骨折的手术策略及疗效.pdfVIP

Pilon 【摘要】目的 探讨复杂胫骨 Pilon 骨折手术方法选择与疗效。方法 选取 2011 年 8 月至 2013 年 12 月复杂胫骨 Pilon 骨 折患者 128 例，将其随机分为 A 组（64 例）与 B 组（64 例）。A 组患者采用外固定支架结合有限内固定治疗；B 组患者采 用切开复位并行内固定治疗，比较两组患者治疗效果及并发症发生情况。结果 两组患者治疗 1 年后的优良率比较差异无 统计学意义（P ＞0.05 ）。两组型患者术后踝关节功能评分比较差异无统计学意义（P ＞0.05 ）；B 组 型患者术后踝关节 功能评分明显优于 A 组（P ＜0.05 ）；A 组型患者术后踝关节功能评分明显优于B 组（P ＜0.05 ）。两组患者术后并发症发 生率比较差异无统计学意义（P ＞0.05 ）。结论 对于复杂胫骨 Pilon 骨折患者行手术治疗时，应根据骨折分型采取不同的手 术方法，能够有效避免或减少术后并发症发生，更利于踝关节功能恢复，对提高患者术后生活质量有重要意义。 【关键词】复杂胫骨Pilon 骨折；固定方法；踝关节功能评分 【中图分类号】R683 【文献标识码】A 【文章编号】1673-5846(2014)12-0193-03 The operation strategy and the effect of complicated tibial Pilon fractures Lin Zhenfu Xie Huaichun Li Zelin Wan Li Zhang Tao 【Abstract 】Objective To explore the operation method and effect analysis and research of complex tibial Pilon fracture. Methods Selected from 2011 August - 2013December 128 cases of complex tibial Pilon fracture patients, which were randomly divided into A group (64 cases) and B group (64 cases).Patients in group A were treated by external fixator combined with limited internal fixation treatment; group Bwere treated with open reduction and internal fixation for the treatment of theparallel, two groups of treatment effect and complications were compared between.Results The excellent and good rate of two groups of patients after 1 years of no significant difference (P＞0.05).No significant difference of score function of ankle joint two groups of type patients (P＞0.05);B group patients postoperative ankle function score wassignificantly higher than in group A (P＜0.05);significantly higher than in group B ankle function score