检验医学与临床2017，Vol.14Issue(11)：1550-1552,1555,4.DOI:10.3969/j.issn.1672-9455.2017.11.011
不同手术固定方式治疗AO-C3型Pilon骨折的临床对照研究
Clinical controlled study of different surgical fixation modes in treating AO-C3 Pilon fracture
乔娇 1袁士涛 2杜容娇1
作者信息
- 1. 中国医科大学附属第一医院骨科,沈阳 110001
- 2. 中国人民解放军第463医院麻醉科,沈阳 110042
- 折叠
摘要
Abstract
Objective To study the clinical value of different operative fixation modes in treating AO-C3 Pilon fracture.Methods The retrospective analysis method was adopted to analyze 60 cases of AO-C3 Pilon fracture in the orthopedic department of our hospital from 2011 to 2015.The patients were divided into the group A,B and C according to different operation schemes.The group A adopted the open reduction and distal tibia anatomical plate internal fixation (16 cases),the group B adopted minimally invasive percutaneous locking plate internal fixation (20 cases) and the group C adopted limited internal fixation combined with external fixation (24 cases).The ankle joint function recovery situation and fracture reconstruction quality at postoperative 2 weeks were observed in 3 groups.The follow up lasted for 6-24 months.The occurrence situation of postoperative early complications and long-term complications were observed.Results The excellent rate of joint function recovery,fracture reconstruction quality and long-term complications occurrence had no statistical difference among 3 groups (P>0.05);the occurrence rate of postoperative early complications in the group A was higher than that in the group B and C,the difference was statistically significant(P<0.05),but there was no statistical difference between the group B and C.Conclusion The operation treatment of minimally invasive percutaneous locking plate internal fixation and limited internal fixation combined with external fixation can effective reduce the occurrence of early complications in the patients with AO-C3 Pilon fracture.Selecting the limited internal fixation combined with external fixation in the patients with large range infection and severe soft tissue defect has some advantages.关键词
Pilon骨折/解剖复位/并发症Key words
Pilon fracture/anatomical reduction/complications引用本文复制引用
乔娇,袁士涛,杜容娇..不同手术固定方式治疗AO-C3型Pilon骨折的临床对照研究[J].检验医学与临床,2017,14(11):1550-1552,1555,4.
