内固定与外固定治疗开放性Pilon骨折的疗效比较

The clinical efficacy comparison of internal fixation and external fixation in the treatment of open Pilon fractures

目的比较内固定与外固定治疗开放性Pilon骨折的临床疗效。方法选取2011年3月—2014年3月成都市武侯区第三人民医院收治的56例Pilon骨折患者,随机分为内固定组和外固定组,各28例。内固定组给予内固定治疗,外固定组给予外固定治疗,比较两组Mazur评分、骨折愈合时间及并发症发生情况。结果两组Mazur评分比较,差异无统计学意义(P>0.05),外固定组骨折愈合时间短于内固定组,并发症发生率低于内固定组,差异有统计学意义(P<0.05)。结论内固定和外固定治疗开放性Pilon骨折的疗效差异不大,但是在骨折愈合时间、并发症预防方面外固定组有一定的优势。

Objective To compare the clinical efficacy of internal fixation and external fixation in the treatment of open Pilon fractures. Methods In the Third People＇s Hospital of Wuhou District from March 2011 to March 2014,a total of 56 open Pilon fractures patients were selected and randomly divided into internal fixation group and external fixation group,28 cases in each group. Internal fixation group were treated with internal fixation,external fixation group were treated with external fixa-tion,the Mazur scores,fracture healing time,incidence of complications between the two groups were compared. Results Mazur scores between the two groups were compared,the difference was not statistically significant（P ﹥ 0. 05）,but the frac-ture healing time of external fixation group was shorter than the internal fixation group,and the incidence complications was lower than the internal fixation group（P ﹤ 0. 05）. Conclusion The curative effect between internal and external fixation operation mode in the treatment of open Pilon fractures makes little difference,but in the fracture healing time and aspects of complication prevention,external fixation group has certain advantages.