影响内固定治疗Pilon骨折疗效的相关因素分析

Analysis of relevant factors influencing the efficacy of intra-fixation in Pilon fracture

目的探讨影响Pilon骨折内固定治疗效果的相关因素。方法回顾分析2005年1月至2012年10月63例Pilon骨折患者的临床诊治资料,进行多重Logistic多因素回归分析。结果 63例Pilon骨折患者手术总优良率为77.8%,其中Ⅱ型骨折优良率为86.5%,Ⅲ型骨折优良率为65.4%。患者的性别、年龄及是否伴有腓骨骨折与疗效无显著相关性,而软组织损伤、骨折类型及植骨与否则与Pilon骨折内固定治疗疗效密切相关。结论手术前后重视对软组织的保护、准确判断骨折类型,选择恰当的方案并适当植骨可提高Pilon骨折内固定治疗效果。

Objective To study the relevant factors influencing the efficacy of intra-fLxation in Pilon frac- ture. Methods The clinical data of 63 cases of Pilon fracture from Jan. 2005 to Oct. 2012 were retrospectively ana- lyzed by multiple logistic regression. Results The total effective rate reached 77.8%, and the effective rate of type Ⅱ Pilon fracture, type Ⅲ Pilon fracture was 86.5%, 65.4%, respectively. The clinical efficacy showed no significant cor- relation with age, gender, and whether with fibular fracture, but was correlated to soft tissue injury, fracture type and bone graft. Conclusion The efficacy of intra-fixation in Pilon fracture can be improved by emphasizing on the pro- tection of soft tissue before and after surgery, accurately judging the type of fracture, selecting the appropriate program and bone grafting.