分阶段切开复位内固定治疗严重Pilon骨折临床观察

Phased Reduction and Internal Fixation Treatment for Severe Pilon Fractures

目的对严重Pilon骨折采取分阶段切开复位内固定治疗的效果进行研究。方法选取我院在2012年2月1日∽9月30日所接受治疗的68例严重Pilon骨折患者,采用常规的外固定治疗患者35例,其他33例患者采取分阶段切开复位内固定,对两组患者的治疗效果进行分析。结果所有患者的手术均顺利进行,但是观察组的术后愈合时间较短,低于对照组,P〈0.05,差异具有统计学意义;观察组的并发症的出现率低于对照组,差异具有统计学意义。结论采用分阶段切开复位内固定的手术方式治疗Pilon骨折效果较优。

Objective Research the phased reduction and fixation in the treatment of severe Pilon fractures. Methods Chose 68 cases of severe Pilon fractures in our hospital from 1st February 2012 to 30 th September 2012,35 cases were treated with conventional external fixation,33 patients were taking other fixed within a phased approach open reduction,analysed two groups of patients for treatment effect. Results All patients were operated smoothly,but the healing time in the observation group was significantly lower than the control group,P〈0.05,there was significant difference,occurrence rate of complications was much lower than the control group,there was a significant difference. Conclusion Phased reduction and internal fixation treatment for severe Pilon fractures has good effect.