有限内固定结合外固定支架固定术和切开复位内固定术治疗胫骨Pilon骨折的临床疗效比较

Clinical effect comparison of limited internal fixation combined with external fixation and open reduction and internal fixation in the treatment of tibial Pilon fracture

目的探讨有限内固定结合外固定支架固定术和切开复位内固定术治疗胫骨Pilon骨折的临床疗效。方法选取东台市人民医院骨科2012—2014年收治的胫骨Pilon骨折患者82例,根据手术方式的不同分为对照组和研究组,各41例。对照组患者实施切开复位内固定术,研究组患者采用有限内固定结合外固定支架固定术。随访6~18个月,比较两组患者临床疗效及并发症发生情况。结果两组患者临床治疗优良率比较,差异无统计学意义(P>0.05)。两组患者不良反应发生率比较,差异无统计学意义(P>0.05)。结论有限内固定结合外固定支架固定术和切开复位内固定术治疗胫骨pilon骨折患者临床疗效相当,需根据患者病情选取合适的手术方式,并严格遵循手术治疗原则,提高治疗效果。

Objective To investigate the clinical effect of limited internal fixation combined with external fixation and open reduction and internal fixation in the treatment of tibial Pilon fracture. Methods A total of 82 cases of tibial Pilon fracture patients were selected from 2012 to 2014 in Dongtai People's Hospital,which were divided into the control group and the study group according to different treatment,41 cases in each group. Control group of patients was treated with open reduction and internal fixation,study group of patients was treated with limited internal fixation combined with external fixation. Patients were monitored for 6-18 months,the clinical effect and the incidence of complications were compared between the two groups. Results No statistically significant differences of clinical good treatment rate and the incidence of complications was found between the two groups( P > 0. 05). Conclusion It has a same clinical effect of limited internal fixation combined with external fixation and open reduction and internal fixation in the treatment of tibial pilon fracture,and with good safty,need to select reasonable surgical procedure based on the patients' condition,and strictly follow the principle of surgical treatment to improve the effect of treatment.