切开复位内固定联合负压封闭引流治疗胫骨开放性Pilon骨折的疗效探讨

Therapeutic Effect of Open Reduction and Internal Fixation Combined with Negative Pressure Occlusion on Tibial Open Pilon Fracture

目的分析切开复位内固定联合负压封闭引流治疗胫骨开放性Pilon骨折的疗效。方法方便选择该院自2013年1月—2017年7月收治的70例胫骨开放性Pilon骨折患者将其随机分为2组,对照组和观察组,每组35例。对照组患者给予切开复位内固定术,观察组给予切开复位内固定联合负压封闭引流,对比两组患者治疗效果。结果观察组患者优良率为94.26%明显高于对照组71.43%,相对比,差异有统计学意义(P<0.05)。观察组皮瓣愈合率、骨折愈合率分别为91.43%、94.26%均明显高于对照组82.86%、80.00%,相对比,差异有统计学意义(P<0.05)。观察组患者并发症发生率为5.71%明显低于对照组22.86%,相对比,差异有统计学意义(P<0.05)。结论要提高胫骨Pilon骨折患者的皮瓣、骨折愈合率,减少并发症的发生,可采用切开复位内固定联合负压封闭引流治疗。

Objective This paper tries to study the effect of open reduction and internal fixation combined with negative pressure occlusion on tibial open Pilon fracture.Methods 70 patients with open tibial fractures from January 2013 to July 2017 were convenient selected and randomly divided into two groups:control group and observation group,with 35 patients in each group.The patients in the control group were treated with open reduction and internal fixation.The observation group was treated with open reduction and internal fixation combined with negative pressure and drainage.The treatment effect was compared between the two groups.Results The excellent and good rate of the observation group was 94.26%,which was significantly higher than that of the control group 71.43%(P<0.05).The healing rate of flap and the healing rate were 91.43%and 94.26%,respectively,which were significantly higher than those in the control group 82.86%,80.00%(P<0.05).The incidence of complications in the observation group was 5.71%,which was significantly lower than that in the control group(22.86%,P<0.05).Conclusion The open the internal fixation combined with negative pressure closed drainage treatment can be used to improve the tibial Pilon fracture in patients with flap,fracture healing rate,reduce the incidence of complications.