锁定钢板在治疗pilon骨折中的临床疗效

Clinical effects of locking plate on the treatment of pilon fracture

目的探讨锁定钢板(LCP)在治疗pilon骨折中的临床疗效。方法回顾性分析广饶县人民医院2012年3月至2014年10月收治的80例pilon骨折患者临床资料,按内固定材料分为研究组(LCP内固定)和对照组(解剖钢板内固定),比较两组患者临床指标、复位效果、Tornetta临床疗效和不良反应发生情况。结果研究组手术时间及愈合时间均较对照组短,组间比较差异有统计学意义(P<0.05);两组患者Tornetta疗效对比差异无统计学意义(P>0.05);两组患者放射学复位效果对比差异无统计学意义(P>0.05);研究组仅发生3例感染(7.50%),对照组共发生12例(30.00%)不良反应,包括4例感染、3例延迟愈合、3例不愈合、2例内置物断裂,研究组不良反应发生率显著低于对照组,差异有统计学意义(χ2=6.646,P<0.05)。结论锁定钢板内固定和解剖钢板内固定有相近的复位效果和临床治疗效果,但锁定钢板内固定术后康复更快,安全性更好,临床应用价值更大。

Objective To investigate the clinical effects of locking plate（LCP）on the treatment of pilon fracture.Methods A retrospective analysis was made on the clinical data of 80 cases of patients with pilon fracture from March 2012 to October 2014.The patients were divided into research group（LCP internal fixation）and control group（anatomical plate internal fixation）,according to the internal fixation material.The clinical indicators,reduction effects,Tornetta clinical effects and adverse reactions between two group were compared.Results The operation time and healing time of research group were shorter than control group,difference were statistically significant（P〈0.05）.Tornetta clinical effects between two group had no statistical difference（P〉0.05）.Radiology reduction effects between two group had no statistical difference（P〉0.05）.3 cases（7.50%）of infection occurred in research group,while 12cases（30.00%）of adverse reactions occurred in control group,including 4cases of infection,3cases of delayed healing,3cases of nonunion and 2cases of implant rupture.The incidence of adverse reaction of research group was significantly lower than control group（χ^2=6.646,P〈0.05）.Conclusion LCP internal fixation has similar reduction effects and Tornetta clinical effects with anatomic plate internal fixation,but it has better rehabilitation speed and safety,with a greater value of clinical application.