解放军医药杂志2017，Vol.29Issue(4)：75-77,88,4.DOI:10.3969/j.issn.2095-140X.2017.04.019
不同手术固定方式治疗AO-C3型Pilon骨折的临床对照研究
Comparative study of Different Surgical Methods in Treatment of Type AO-C3 Pilon Fracture
摘要
Abstract
Objective To study clinical value of different fixation methods in treatment of type AO-C3 Pilon fracture.Methods Clinic data of 60 patients with type AO-C3 Pilon fracture admitted during January 2008 and January 2013 was retrospectively analyzed,and the patients were divided into group A (n =16),B (n =20) and C (n =24) according to surgical methods.Group A received open reduction of distal tibia anatomical plate internal fixation;group B received minimal invasive of percutaneous locking plate internal fixation;group C received limited internal fixation combined with external fixation.Clinical effect,quality of fracture reconstruction and early and long-term complication conditions were observed in three groups.Results The differences of good rate,anatomic reduction rate and long-term incidence rate of complication showed no statistic significances among three groups (P ＞ 0.05).The early-term incidence rate of complication in group A was higher than those in group B and C (P ＜ 0.05),but there was no significant difference in the rate between group B and C (P ＞ 0.05).Conclusion The three fixation methods have their own advantages.Both minimal invasive of percutaneous locking plate internal fixation and limited internal fixation combined with external fixation can effectively reduce early-term incidence rate of complications of patients with type AO-C3 Pilon fracture,and limited internal fixation combined with external fixation has a certain advantage for patient with wide-bound infection and severe soft tissue loss in fracture area.关键词
Pilon骨折/骨折固定术/解剖复位/手术后并发症Key words
Pilon fracture/Fracture fixation/Anatomical reduction/Postoperative complications分类
医药卫生引用本文复制引用
张鹏,张春艳..不同手术固定方式治疗AO-C3型Pilon骨折的临床对照研究[J].解放军医药杂志,2017,29(4):75-77,88,4.基金项目
陕西省科学技术研究发展计划项目(2012K16-08-08) （2012K16-08-08）
