非超踝Taylor空间支架治疗胫骨Pilon骨折

发布时间：2019-01-07 18:45

【摘要】：[目的]探讨非超踝Taylor空间支架治疗胫骨Pilon骨折的安全性及临床疗效。[方法]回顾性分析2015.2-2017.2手术治疗胫骨Pilon骨折患者共30例,按照治疗方法分为联合固定组与内固定组。联合固定组采用闭合复位Taylor空间支架联合有限内固定进行治疗,内固定组采用传统切开复位内固定治疗。比较两组患者的术中出血量、手术时间、骨折愈合时间和并发症发生率以及骨折愈合拆除外固定支架随访2个月后使用AOFAS踝-后足评分标准(AOFAS ankle hindfoot scale)评估踝关节功能恢复情况。[结果]手术时间、出血量及愈合时间两组差异有统计学意义(P0.05),联合固定组优于内固定组,并发症发生率内固定组高于联合固定组。全部患者均得到完整随访,骨折愈合拆除外固定支架随访2个月后根据AOFAS踝-后足评分系统(AOFAS ankle hindfoot scale)评估患者踝关节功能恢复情况,其中联合固定组优良率86.67%,内固定组优良率60.00%,差异有统计学意义(P0.05);[结论]闭合复位非超踝Taylor空间支架联合有限内固定治疗胫骨Pilon骨折可以缩短手术时间,降低并发症发生率,减少骨折愈合时间。是一种易于掌握的、具有较低并发症和临床疗效满意的技术,值得在临床广泛推广。
[Abstract]:[objective] to investigate the safety and clinical effect of non-ankle Taylor space stent in the treatment of tibial Pilon fracture. [methods] Thirty patients with tibial Pilon fracture were treated retrospectively from May 2 to July 2012.The patients were divided into two groups: combined fixation group and internal fixation group. The combined fixation group was treated with closed reduction and Taylor space stent combined with limited internal fixation, while the internal fixation group was treated with traditional open reduction and internal fixation. The amount of intraoperative bleeding and the time of operation were compared between the two groups. The time of fracture healing, the incidence of complications and the functional recovery of ankle joint were evaluated by AOFAS ankle-hind foot score (AOFAS ankle hindfoot scale) after 2 months follow-up. [results] there were significant differences in operation time, bleeding volume and healing time between the two groups (P0.05). The combined fixation group was superior to the internal fixation group, and the incidence of complications in the internal fixation group was higher than that in the combined fixation group. All the patients were followed up completely. The functional recovery of ankle joint was evaluated according to AOFAS ankle-hind foot scoring system (AOFAS ankle hindfoot scale) after 2 months follow up of fracture healing and removal of external fixator. The excellent and good rate of combined fixation group was 86.67%. The excellent and good rate of internal fixation group was 60.00g, the difference was statistically significant (P0.05); [conclusion] closed reduction and non-ankle Taylor space stent combined with limited internal fixation in the treatment of tibial Pilon fracture can shorten the operative time, reduce the incidence of complications and reduce the healing time of the fracture. It is an easy-to-master technique with low complications and satisfactory clinical effect. It is worth popularizing in clinic.
【作者单位】：天津中医药大学研究生院;天津市天津医院;
【分类号】：R687.3

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