河北医学2017，Vol.23Issue(9)：1459-1463,5.DOI:10.3969/j.issn.1006-6233.2017.09.015
三种手术方式治疗ⅡⅢ型高能量胫骨pilon骨折的近远期疗效比较
Comparison of the Short-term and Long-term Effects of three Surgical methods in treating Type Ⅱ and Ⅲ High-energy Tibial Pilon Fractures
摘要
Abstract
Objective:To compare the short-term and long-term effects of three surgical methods in treating type Ⅱ and Ⅲ high-energy tibial pilon fractures. Methods:103 patients with type Ⅱ and Ⅲ high-en-ergy tibial pilon fractures treated in our hospital between March 2010 to March 2014 were selected as study subjects, and according to different surgical methods, they were divided into group A ( one-stage open reduc-tion and internal fixation) , group B ( limited internal fixation and external fixation) and group C ( stepwise de-layed surgery) . All patients were followed up for 12 ～ 30 months with an average of 18 months. The short-term and long-term effects were compared between groups. Results:The operation time, intraoperative blood loss, fracture healing time and incidence of postoperative complications in group C were significantly less and lower than those in group A and group B ( P <0.05);The excellent and good rate of ankle functional recover-y, scores of overall health, pain, vitality, physical function and physical role in group C were significantly higher than those in group B ( P < 0.05) , and those in group A were significantly higher than those in group B at the end of follow-up ( P <0.05) . Conclusion:Compared with one-stage open reduction and internal fix-ation, limited internal fixation and external fixation, the effect of stepwise delayed surgery is the best which can significantly reduce the incidence of complications, promote the recovery of ankle joint function, improve the quality of life of patients, and can be used as the preferred surgery for treating type Ⅱ and Ⅲ high-energy tibial pilon fractures.关键词
高能量胫骨Pilon骨折/内固定/分步延期手术/近远期疗效Key words
High-energy tibial pilon fracture/Internal fixation/Stepwise delayed surgery/Short-term and long-term effect引用本文复制引用
陈建榕..三种手术方式治疗ⅡⅢ型高能量胫骨pilon骨折的近远期疗效比较[J].河北医学,2017,23(9):1459-1463,5.基金项目
四川省卫生和计划生育委员会科研课题,(编号:1400592) （编号:1400592）
