有限切开复位内固定外固定支架在复杂胫骨远端Pilon骨折中的应用

Application of limited open reduction and internal fixation combined with external fixation in complex distal tibial Pilon fracture

目的 探讨有限切开复位内固定结合外固定支架在复杂胫骨远端Pilon骨折中的应用效果。方法 收集我院2013年5月-2014年3月收治的90例复杂胫骨远端Pilon骨折患者,根据入院顺序,将患者分成观察组与对照组,对照组采用传统切开复位内固定术治疗,观察组采用有限内固定结合外固定支架术治疗。观察两组的治疗效果、踝关节功能恢复情况系统评分（Muzur评分）及并发症发生情况。结果 治疗后,观察组的优良率为86.67%,显著高于对照组的64.44%（P〈0.05）;观察组的并发症发生率为4.44%,明显低于对照组的17.78%（P〈0.05）。结论 有限切开复位内固定外固定支架在复杂胫骨远端Pilon骨折中的应用效果显著,可减少术后并发症,值得临床推广应用。

Objective To explore the application of limited open reduction and internal fixation combined with external fixation stent in complex distal tibial Pilon fracture.Methods 90 cases with complex tibial distal Pilon fracture treated by our hospital from May 2013 to March 2014 were collected.According to the order of admission,they were divided in- to the observation group and the control group.The control group was treated by traditional open reduction and internal fixation,and the observation group was treated by limited internal fixation combined with external fixation stent.The therapeutic effect,the system score of functional recovery of the ankle joint （Muzur score） and the incidence of compli- cations in two groups were observed.Results After treatment,the excellent and good rate in the observation group （86.67%） was significantly higher than that of the control group （64.44%） （P〈0.05）.The incidence rate of complication in the observation group （4.44%） was significantly lower than that the control group （17.78%） （P〈0.05）.Conclusion The application effect of limited open reduction and internal fixation combined with external fixation stent in the complex tibial distal Pilon fracture is significant,which can reduce postoperative complications,and it is worthy of clinical pro- motion and application.