摘要
目的研究微创接骨术联合锁定钢板治疗胫骨Pilon骨折的效果。方法整群选取2014年8月—2015年7月在该院接受治疗的84例胫骨Pilon骨折患者为研究对象,按抽签顺序分为观察组(n=42)和对照组(n=42)。观察组接受微创接骨术联合锁定钢板治疗,对照组接受切开复位内固定术治疗。将两组治疗效果及并发症发生情况进行比较。结果观察组的临床治疗效果总有效为97.62%,明显高于对照组的83.33%,差异有统计学意义(P<0.05);观察组发生1例切口感染、1例骨髓炎,总并发症发生率为4.76%;对照组发生3例骨折畸形、2例切口感染、1例骨髓炎,总并发症发生率为14.29%,观察组明显低于对照组,差异有统计学意义(P<0.05)。结论对胫骨Pilon骨折应于微创接骨术联合锁定钢板治疗,可显著提高治疗效果,降低并发症发生率。
Objective To study the minimally invasive osteosynthesis combined with locking plate in the treatment of tibial Pilon fractures. Methods Group selection from August 2014 to July 2015 in our hospital for treatment of 84 cases of tibial Pilon fracture patients as the research object, by order divided into the observation group （n=42） and control group （n=42）. The observation group underwent minimally invasive osteosynthesis combined with locking plate treatment, the control group received internal fixation for treatment. The treatment effect of the two groups and the incidence of complications were compared. Results The clinical curative effect of observation group total effectiveness was 97.62%, significantly higher than the control group 83.33%, the difference was significant （P〈 0.05）; observation group, 1 cases of incision infection, 1 cases of osteomyelitis and the total complication rate was 4.76%; 3 cases of control group occurred fracture deformity, 2 cases of incision infection, 1 cases of osteomyelitis, the total complication rate was 14.29%, the observation group was significantly lower than the control group, the difference was significant （P〈 0.05）. Conclusion The tibial Pilon fractures should be in minimally invasive osteosynthesis combined with locking plate in the treatment, can significantly improve the therapeutic ef-fect and reduce the incidence of complications.
出处
《中外医疗》
2016年第20期90-91,共2页
China & Foreign Medical Treatment
关键词
微创接骨术
联合
锁定钢板
胫骨PILON骨折
Minimally invasive osteosynthesis
Joint
Locking plate
Tbial Pilon fracture
