胫骨远端锁定加压钢板与解剖型钢板内固定治疗Pilon骨折疗效比较

Comparison of effects of distal tibial locking compression plate and anatomical plate internal fixation on Pilon fractures

目的 对比分析胫骨远端锁定加压钢板(locking compression plate, LCP)与解剖型钢板内固定治疗Pilon骨折疗效。方法 选取2018年1月—2020年6月期间收治的71例Pilon骨折患者。按照随机数字表法分为两组:研究组36例采用胫骨远端LCP治疗,对照组35例采用解剖型钢板内固定治疗。对比两组临床指标、Mazur评分优良率及并发症发生率。结果 研究组手术时间、手术切口长度、住院时间、骨折愈合时间均短于对照组(P<0.05);随访12个月,研究组患者Mazur评分优良率97.22%明显高于对照组77.14%(P<0.05);研究组并发症发生率2.78%明显低于对照组25.71%(P<0.05)。结论 胫骨远端LCP治疗Pilon骨折可显著促进骨折复位、愈合及踝关节功能恢复,且并发症发生率低,值得临床推广。

Objective To compare and analyze the effects of distal tibial locking compression plate(LCP)and anatomical plate internal fixation on Pilon fractures.Methods A total of 71 patients with Pilon fractures admitted to the hospital from January 2018 to June 2020 were selected.According to the method of random number table,36 patients in the study group were treated with LCP of distal tibia,and 35 patients in the control group were treated with anatomical plate internal fixation.The clinical indexes,the excellent and good rate of Mazur score,and the incidence rate of complications were compared between the two groups.Results The operation time,surgical incision length,hospital stay,and fracture healing time in the study group were all shorter than those in the control group(P<0.05).After 12 months of follow-up,the excellent and good rate of Mazur score in the study group was 97.22%,which was significantly higher than that in the control group,77.14%(P<0.05).The incidence rate of complications in the study group was 2.78%,which was significantly lower than that in the control group,25.71%(P<0.05).Conclusion Distal tibial LCP in the treatment of Pilon fractures can significantly promote fracture reduction,healing,and ankle function recovery,with a low complication rate,which is worthy of clinical promotion.