摘要
目的探讨经皮插入胫骨远端锁定钢板内固定术与传统切开复位解剖锁定钢板内固定术治疗胫骨远端pilon骨折的效果。方法40例胫骨远端pilon骨折患者随机分为观察组和对照组各20例，观察组采用经皮插入胫骨远端锁定钢板内固定术治疗，对照组采用传统切开复位解剖锁定钢板内固定术治疗，比较两组骨折愈合时间、并发症发生率及骨折愈合优良率。结果观察组骨折平均临床愈合时间及并发症发生率分别为（3．0±0．2）个月、5．0％（1／20），明显少于对照组的（4．0±0．3）个月、35．0％（t=12．40，f=3．91，均P〈0．05）。经随访，观察组优良率95．0％明显高于对照组的65．0％（X^2=4．37，P〈0．05）。结论经皮插入胫骨远端锁定钢板内固定术治疗胫骨远端pilon骨折具有踝关节功能恢复好、并发症发生率低等优点，值得临床推广应用。
Objective To investigate the effects of different operation methods for the treatment of distal tibial pilon fractures. Methods 40 cases of distal tibial pilon fractures were randomly divided into study group and control group, each of 20 cases. The research group used percutaneous insertion of the distal tibia locking plate internal fixation, the control group used the traditional open reduction and anatomical locking plate fixation. The average healing time, the incidence of complications and high rate of fracture healing were compared between the two group. Results The average healing time of the fracture study group （3.0±0.2） months was significantly shorter than that in the control group （4.0±0.3 ） months. Complication rate in the study group 5.0% was significantly lower than that in the control group 35.0%. Fracture healing rate of study group 95.0% was significantly higher than that of control group 65.0%. There was significant difference （ P 〈0. 05 ）. Conclusion The insertion of percutaneous locking plate fixation in the treatment of distal tibia has less trauma, simple operation, ankle joint function recovery, and the complication rate is low.
出处
《中国基层医药》
CAS
2012年第24期3738-3739,共2页
Chinese Journal of Primary Medicine and Pharmacy
关键词
胫骨骨折
骨折固定术
内
Tibial fracture
Fracture fixation, internal
