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内固定与外支架固定治疗复杂性Pilon骨折的对比研究

Comparative study of internal fixation and external fixation in treatment of complex Pilon fracture
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摘要 目的将内固定与外支架固定这两种方法治疗复杂性Pilon 骨折的临床效果进行对比.方法:选择我院收治的62 例Pilon 骨折患者进行研究,分为观察组和对照组.对照组采用外支架固定对患者进行治疗,观察组患者采用内固定进行手术.比较两组患者的Muzur 分值、并发症发生率以及治疗优良率.结果:观察组患者的手术时间以及骨折愈合时间少于对照组,术中出血量明显比对照组组低,比较具有统计学意义(P〈0.05),观察组患者的治疗优良率为93.54%,Muzur 分值为(90.1±12.5)分,与对照组的87.10%以及(85.9±9.7)分相比均无明显差异(P〉0.05),并发症发生率为6.45%,明显低于对照组的16.13%,对比差异明显,具有统计学意义(P〈0.05).结论:在复杂性Pilon 骨折的治疗过程中,内固定手术对骨折断端进行准确复位,确保踝穴以及胫骨长度的稳定性,大幅降低并发症发生率,效果显著,具有较大的应用前景,值得推广. Objective:To internal fixation and external fixation of these two methods the clinical effect of treatment of complex Pilon fracture were compared. Methods:62 cases of Pilon admitted to our hospital with fractures were studied, divided into observation group and control group. Comparing the two groups of patients with Muzur scores, incidence of complications and the treatment of the excellent and good rate. Results the operation time of patients and the healing time was(61.2 ± 10.3) minutes and(17.6 ± 4.4) weeks, less than the control group, the amount of intraoperative bleeding was(75.6 ± 15.6) ml, were higher than that in the control group, with significant differences(P < 0.05), observe the treatment group with the excellent and good rate was 93.54%, Muzur value was(90.1 ± 12.5)%, and 87.10% in the control group and(85.9 ± 9.7) phase ratio were not significantly different(> 0.05), the incidence of complications was 6.45%, significantly lower than the control group 16.13%, contrast differences, with statistical significance(P < 0.05). Conclusion in the treatment of process complexity of Pilon fracture, internal fixation operation for accurate reduction of fractures, ensure the stability of ankle and tibia length, greatly reduce the incidence of complications, obvious effect, which has wide application prospect, is worthy of promotion. Conclusion:in the treatment of process complexity of Pilon fracture, internal fixation operation for accurate reduction of fractures, ensure the stability of ankle and tibia length, greatly reduce the incidence of complications, obvious effect, which has wide application prospect, is worthy of promotion.
作者 康庶
出处 《世界中医药》 CAS 2015年第A01期199-200,共2页 World Chinese Medicine
关键词 内固定 PILON骨折 复位 骨折断端 外支架固定 Pilon internal fixation fracture reduction fracture external fixation
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