切開復位有限內固定結合外固定架治療Pilon骨折的臨床療效分析
發(fā)布時間：2018-07-25 15:59
【摘要】：研究目的分析Pilon骨折的病因及受傷機制,比較切開復位有限內固定結合外固定架手術治療方法相對傳統(tǒng)單純內固定手術治療方式的優(yōu)劣,通過比較結果為臨床治療Pilon骨折手術方式提供可更加有效的治療方案。研究方法選取于我科在2014年9月-2016年6月收治的62例Pilon骨折患者,根據選擇不同的手術方式將總體病人樣本分為觀察組和對照組兩組。對觀察組患者給予行脛骨遠端切開復位有限內固定結合外固定手術予以治療,對照組行單純切開復位內固定治療。記錄兩組患者手術術后第3個月及第12個月的踝關節(jié)Mazur評分等多項指標并分析比較。結果兩組患者分別在術后第三個月及術后第十二個月的踝關節(jié)功能Mazur評分的差異具有統(tǒng)計學意義(P0.05);兩組患者術后并發(fā)癥方面的差異同樣具有統(tǒng)計學意義(P0.05)。結論在新鮮閉合Pilon骨折的患者手術治療方式的選擇方面,采用切開復位有限內固定結合外固定架的手術方式治療的患者術后踝關節(jié)的功能恢復較佳,術后并發(fā)癥較單純內固定治療而言相對較少,踝關節(jié)功能恢復情況較佳。
[Abstract]:Objective to analyze the etiology and injury mechanism of Pilon fracture and compare the advantages and disadvantages of open reduction and limited internal fixation combined with external fixation. The results provide a more effective method for the treatment of Pilon fracture. Methods 62 patients with Pilon fracture admitted in our department from September 2014 to June 2016 were divided into two groups: observation group and control group according to different surgical methods. The patients in the observation group were treated with open reduction and limited internal fixation of distal tibia combined with external fixation, while the patients in the control group were treated with simple open reduction and internal fixation. The Mazur scores of ankle joint in the 3rd and 12th month after operation were recorded and compared between the two groups. Results the Mazur scores of ankle function in the third month and the twelfth month after operation were significantly different between the two groups (P0.05), and the differences of postoperative complications between the two groups were also statistically significant (P0.05). Conclusion in the choice of surgical treatment for fresh closed Pilon fracture, the functional recovery of ankle joint in patients with open reduction and limited internal fixation combined with external fixation is better. The postoperative complications were less than that of internal fixation alone, and the recovery of ankle function was better.
【學位授予單位】：鄭州大學
【學位級別】：碩士
【學位授予年份】：2017
【分類號】：R687.3
[Abstract]:Objective to analyze the etiology and injury mechanism of Pilon fracture and compare the advantages and disadvantages of open reduction and limited internal fixation combined with external fixation. The results provide a more effective method for the treatment of Pilon fracture. Methods 62 patients with Pilon fracture admitted in our department from September 2014 to June 2016 were divided into two groups: observation group and control group according to different surgical methods. The patients in the observation group were treated with open reduction and limited internal fixation of distal tibia combined with external fixation, while the patients in the control group were treated with simple open reduction and internal fixation. The Mazur scores of ankle joint in the 3rd and 12th month after operation were recorded and compared between the two groups. Results the Mazur scores of ankle function in the third month and the twelfth month after operation were significantly different between the two groups (P0.05), and the differences of postoperative complications between the two groups were also statistically significant (P0.05). Conclusion in the choice of surgical treatment for fresh closed Pilon fracture, the functional recovery of ankle joint in patients with open reduction and limited internal fixation combined with external fixation is better. The postoperative complications were less than that of internal fixation alone, and the recovery of ankle function was better.
【學位授予單位】：鄭州大學
【學位級別】：碩士
【學位授予年份】：2017
【分類號】：R687.3
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相關期刊論文 前10條
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2 宋哲;張X;;脛骨pilon骨折手術治療并發(fā)癥的防治進展[J];中華創(chuàng)傷雜志;2014年07期
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本文編號：2144322
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