CAJ | 학술논문

目的：比较胫骨远端锁定加压钢板与解剖型钢板内固定治疗Pilon骨折的临床疗效。方法随机挑选深圳市松岗人民医院骨科2011年12月至2013年12月收治的Pilon骨折患者72例，将患者分为两组，其中观察组36例采用胫骨远端锁定加压钢板进行治疗，对照组36例采用解剖型钢板内固定治疗。结果观察组手术时间和愈合时间分别为（43．4±12．4）min和（15．8±1．9）周，对照组为（56．3±18．4）min和（17．9±2．9）周，两组比较差异有统计学意义（ P＜0．05）；观察组优良率为91．7％（33/36），对照组优良率为77．8％（28/36），两组比较差异有统计学意义（P＜0．05）。结论胫骨远端锁定加压钢板治疗 Pilon骨折，手术时间和愈合时间均较解剖型钢板短，复位较为理想，固定牢靠，值得推广应用。
목적：비교경골원단쇄정가압강판여해부형강판내고정치료Pilon골절적림상료효。방법수궤도선심수시송강인민의원골과2011년12월지2013년12월수치적Pilon골절환자72례，장환자분위량조，기중관찰조36례채용경골원단쇄정가압강판진행치료，대조조36례채용해부형강판내고정치료。결과관찰조수술시간화유합시간분별위（43．4±12．4）min화（15．8±1．9）주，대조조위（56．3±18．4）min화（17．9±2．9）주，량조비교차이유통계학의의（ P＜0．05）；관찰조우량솔위91．7％（33/36），대조조우량솔위77．8％（28/36），량조비교차이유통계학의의（P＜0．05）。결론경골원단쇄정가압강판치료 Pilon골절，수술시간화유합시간균교해부형강판단，복위교위이상，고정뢰고，치득추엄응용。
Objective To compare the clinical effect of distal tibial locking compression plate internal fixation and anatomical plate internal fixation in Pilon fractures .Methods A total of 72 patients with Pilon fracture from De-cember 2011 to December 2013 were randomly divided into two groups ,36 patients in observation group were treated with distal tibial locking compression plate ,and the other 36 patients in control group were treated with anatomic plate fixation .Results The operation time and healing time were (43 .4 ± 12 .4) min and (15 .8 ± 1 .9) weeks in the observation group ,and times in the control group were (56 .3 ± 18 .4) min and (17 .9 ± 2 .9) weeks ,the differences between the two groups were significant (P<0 .05) .The excellent rate in observation group was 91 .7% (33/36) , and that in the control goup was 77 .8% (28/36) ,the difference was statistically significant (P<0 .05) .Conclusion The operation time and healing time of patients with Pilon fractures treated by distal tibial locking compression plate internal fixation is shorter than those treated by anatomical plate internal fixation ,with more desirable reset and sta-ble fixation .