切开复位有限内固定结合外固定架治疗Pilon骨折的临床疗效分析
发布时间：2018-07-25 15:59
【摘要】：研究目的分析Pilon骨折的病因及受伤机制,比较切开复位有限内固定结合外固定架手术治疗方法相对传统单纯内固定手术治疗方式的优劣,通过比较结果为临床治疗Pilon骨折手术方式提供可更加有效的治疗方案。研究方法选取于我科在2014年9月-2016年6月收治的62例Pilon骨折患者,根据选择不同的手术方式将总体病人样本分为观察组和对照组两组。对观察组患者给予行胫骨远端切开复位有限内固定结合外固定手术予以治疗,对照组行单纯切开复位内固定治疗。记录两组患者手术术后第3个月及第12个月的踝关节Mazur评分等多项指标并分析比较。结果两组患者分别在术后第三个月及术后第十二个月的踝关节功能Mazur评分的差异具有统计学意义(P0.05);两组患者术后并发症方面的差异同样具有统计学意义(P0.05)。结论在新鲜闭合Pilon骨折的患者手术治疗方式的选择方面,采用切开复位有限内固定结合外固定架的手术方式治疗的患者术后踝关节的功能恢复较佳,术后并发症较单纯内固定治疗而言相对较少,踝关节功能恢复情况较佳。
[Abstract]:Objective to analyze the etiology and injury mechanism of Pilon fracture and compare the advantages and disadvantages of open reduction and limited internal fixation combined with external fixation. The results provide a more effective method for the treatment of Pilon fracture. Methods 62 patients with Pilon fracture admitted in our department from September 2014 to June 2016 were divided into two groups: observation group and control group according to different surgical methods. The patients in the observation group were treated with open reduction and limited internal fixation of distal tibia combined with external fixation, while the patients in the control group were treated with simple open reduction and internal fixation. The Mazur scores of ankle joint in the 3rd and 12th month after operation were recorded and compared between the two groups. Results the Mazur scores of ankle function in the third month and the twelfth month after operation were significantly different between the two groups (P0.05), and the differences of postoperative complications between the two groups were also statistically significant (P0.05). Conclusion in the choice of surgical treatment for fresh closed Pilon fracture, the functional recovery of ankle joint in patients with open reduction and limited internal fixation combined with external fixation is better. The postoperative complications were less than that of internal fixation alone, and the recovery of ankle function was better.
【学位授予单位】：郑州大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R687.3
[Abstract]:Objective to analyze the etiology and injury mechanism of Pilon fracture and compare the advantages and disadvantages of open reduction and limited internal fixation combined with external fixation. The results provide a more effective method for the treatment of Pilon fracture. Methods 62 patients with Pilon fracture admitted in our department from September 2014 to June 2016 were divided into two groups: observation group and control group according to different surgical methods. The patients in the observation group were treated with open reduction and limited internal fixation of distal tibia combined with external fixation, while the patients in the control group were treated with simple open reduction and internal fixation. The Mazur scores of ankle joint in the 3rd and 12th month after operation were recorded and compared between the two groups. Results the Mazur scores of ankle function in the third month and the twelfth month after operation were significantly different between the two groups (P0.05), and the differences of postoperative complications between the two groups were also statistically significant (P0.05). Conclusion in the choice of surgical treatment for fresh closed Pilon fracture, the functional recovery of ankle joint in patients with open reduction and limited internal fixation combined with external fixation is better. The postoperative complications were less than that of internal fixation alone, and the recovery of ankle function was better.
【学位授予单位】：郑州大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R687.3
【参考文献】
相关期刊论文 前10条
1 俞光荣;李春光;;Pilon骨折的手术入路及解剖[J];中华解剖与临床杂志;2016年04期
2 宋哲;张X;;胫骨pilon骨折手术治疗并发症的防治进展[J];中华创伤杂志;2014年07期
3 黄易q，
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