摘要
目的研究在Pilon骨折患者的临床治疗中对患者进行前外侧有限切开合并内侧微创锁定板接骨术治疗,观察其带来的临床效果。方法选取2018年1-12月在巩义恒星骨科医院就诊的患有Pilon骨折的患者共计72例作为研究对象,将其随机分为对照组和观察组,每组各36例,对照组患者使用常规的治疗方式进行干预,观察组患者使用常规治疗联合前外侧有限切开合并内侧微创锁定板接骨术进行干预,将两种不同治疗方式带来的不同临床效果进行对比。结果两组患者治疗总有效率进行对比,发现观察组的治疗总有效率为97.22%,对照组为77.78%,观察组显著高于对照组,差异有统计学意义(P<0.05);经过治疗后,观察组患者出现并发症的概率为5.56%,对照组为25.00%,观察组患者出现并发症的概率显著低于对照组,差异有统计学意义(P<0.05)。结论在对患有Pilon患者的临床治疗中使用前外侧有限切开合并内侧微创锁定板接骨术对患者进行干预,能够带来显著的临床效果,降低并发症的发生率,值得临床上推广。
OBJECTIVE To study the clinical effect of limited anterolateral incision combined with medial minimally invasive locking plate osteosynthesis in the treatment of Pilon fracture. METHODS 72 patients with Pilon fracture treated in target hospital from January 2018 to December 2018 were randomly divided into control group and observation group,36 cases in each group. The control group was treated with conventional treatment,while the observation group was treated with conventional treatment combined with limited anterolateral incision and locking plate osteosynthesis combined with medial minimally invasive surgery. The clinical effects of different treatment methods were compared. RESULTS Comparing the total effective rate of two groups of patients,it was found that the total effective rate of observation group was 97.22%,and that of control group was 77.78%. The total effective rate of observation group was significantly higher than control group(P<0.05). After treatment,the probability of complications in observation group was 5.56%,while that in control group was 25.00%. The probability of complications in observation group was obvious. Compared with the control group,the difference was significant(P<0.05). CONCLUSION In the clinical treatment of patients with Pilon,the use of anterolateral limited incision combined with medial minimally invasive locking plate osteosynthesis to intervene patients could bring significant clinical results,reduce the probability of complications,and was worthy of clinical promotion.
作者
赵世波
ZHAO Shi-bo(Gongyi Stellar Orthopedics Hospital,Gongyi,Henan,451200,China)
出处
《中国初级卫生保健》
2019年第12期133-134,共2页
Chinese Primary Health Care
关键词
PILON骨折
前外侧有限切开术
内侧微创锁定板接骨术
临床效果
pilon fracture
anterolateral limited incision
medial minimally invasive locking plate osteosynthesis
clinical effect
