改良后外侧入路支撑钢板治疗后侧Pilon骨折

Treatment of posterior Pilon fracture with modified posterolateral lateral approach supporting plate

目的观察后侧Pilon骨折应用改良后外侧入路支撑钢板治疗的效果。方法选择2016年1月-2018年4月德州市陵城区中医院收治的后侧Pilon骨折患者64例为研究对象,随机分为观察组与对照组各32例。观察组采用改良后外侧入路支撑钢板治疗,对照组采用传统后外侧入路支撑钢板治疗。比较两组治疗效果。结果两组手术时间、住院时间差异无统计学意义(P>0.05);观察组骨折愈合时间低于对照组,骨折解剖复位率、踝关节功能优良率高于对照组,差异有统计学意义(P<0.05)。结论后侧Polin骨折治疗时,应用改良后外侧入路支撑钢板治疗方法可有效提高治疗效果,缩短患者骨折愈合时间,提高骨折解剖复位率,有利于踝关节功能最大限度的恢复。

Objective To observe the effect of modified posterolateral lateral approach supporting plate in the treatment of posterior Pilon fracture.Methods 64 patients with posterior Pilon fracture admitted to Lingcheng District Hospital of Traditional Chinese Medicine in Dezhou from January 2016 to April2018 were selected and randomly divided into observation group and control group with 32 cases in each group.The observation group was treated with modified posterolateral lateral approach supporting plate,while the control group was treated with traditional posterolateral lateral approach supporting plate.The therapeutic effects of the two groups were compared.Results There was no significant difference in operation time and hospitalization time between the two groups(P>0.05).The healing time of fracture in the observation group was lower than that in the con trol group,and the anatomical reduction rate of fracture and the excellent and good rate of ankle joint function were higher than those in the control group,the differences were statistically significant(P<0.05).Conclusion In the treatment of posterolateral Polin fracture,the application of modified posterolateral lateral approach supporting plate can effectively improve the treatment effect,shorten the healing time of fracture,improve the anatomical reduction rate of fracture,and help to maximize the recovery of ankle function.