后侧支撑板固定与前向后空心钉固定治疗胫骨后pilon骨折的效果比较研究

发布时间：2018-04-15 13:16

本文选题：胫骨后pilon骨折 + 支撑板　；参考：《中国全科医学》2017年S1期

【摘要】：目的比较后侧支撑板固定与前向后空心钉固定治疗胫骨后pilon骨折的临床疗效。方法选取2012年2月—2016年2月在本院治疗的胫骨后pilon骨折患者共83例,根据固定方法分为支撑板组47例和空心钉组36例。比较分析两组患者的手术时间、术后住院时间、完全负重时间及骨折愈合时间;采用美国足踝外科协会(AOFAS)评分、VAS评分及AO影像学评分评价踝关节术后1年的功能;比较两组患者的术后相关并发症。结果两组患者的手术时间、术后住院时间比较,差异均无统计学意义(P0.05);支撑板组患者的术后完全负重时间、骨折愈合时间少于空心钉组,差异有统计学意义(P0.05)。术后1年,支撑板组患者的AOFAS评分高于空心钉组,VAS评分和AO影像学评分低于空心钉组,差异有统计学意义(P0.05)。两组患者并发症发生率比较,差异无统计学意义(P0.05)。结论后侧支撑板固定治疗胫骨后pilon骨折的临床效果优于前向后空心钉固定,其有助于提高术后骨折稳定性,促进关节功能的恢复。
[Abstract]:Objective to compare the rear support plate is fixed with the front to back clinical results of internal fixation for tibial Pilon fractures. Methods from February 2012 to February 2016 in our hospital for treatment of tibial Pilon fracture patients in 83 cases, according to the method of fixed support plate is divided into group 47 cases and cannulated screw group 36 cases. A comparative analysis of two groups of patients with operation time the postoperative hospitalization time, full weight-bearing time and healing time; using the American Orthopaedic Foot and Ankle Society (AOFAS) score, the evaluation function of 1 years postoperative ankle score VAS score and AO image; compared two groups of patients with postoperative complications. Results the operation time of the two groups of patients, postoperative hospital stay later, there were no significant differences (P0.05); support in the group of patients with postoperative full weight-bearing time, healing time is less than the hollow nail fracture group, the difference was statistically significant (P0.05). 1 years after the operation, the support plate group of patients with AOFA The S score is higher than the hollow nail group, VAS score and AO imaging score lower than the hollow nail group, the difference was statistically significant (P0.05). Two groups of patients complication rate comparison, the difference was not statistically significant (P0.05). Conclusion the clinical effect is better than the rear support plate fixation in the treatment of tibial Pilon fracture after the back hollow screw. It is helpful to improve the postoperative stability of fracture and promote the restoration of joint function.

【作者单位】：浙江省衢州市中医医院;
【分类号】：R687.3

【相似文献】