中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2012年
24期
3738-3739
,共2页
胫骨骨折%骨折固定术,内
脛骨骨摺%骨摺固定術,內
경골골절%골절고정술,내
Tibial fracture%Fracture fixation,internal
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,x2=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％(x2=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.
目的 探討經皮插入脛骨遠耑鎖定鋼闆內固定術與傳統切開複位解剖鎖定鋼闆內固定術治療脛骨遠耑pilon骨摺的效果.方法 40例脛骨遠耑pilon骨摺患者隨機分為觀察組和對照組各20例,觀察組採用經皮插入脛骨遠耑鎖定鋼闆內固定術治療,對照組採用傳統切開複位解剖鎖定鋼闆內固定術治療,比較兩組骨摺愈閤時間、併髮癥髮生率及骨摺愈閤優良率.結果 觀察組骨摺平均臨床愈閤時間及併髮癥髮生率分彆為(3.0±0.2)箇月、5.0％(1/20),明顯少于對照組的(4.0±0.3)箇月、35.0％(t=12.40,x2=3.91,均P＜0.05).經隨訪,觀察組優良率95.0％明顯高于對照組的65.0％(x2=4.37,P＜0.05).結論 經皮插入脛骨遠耑鎖定鋼闆內固定術治療脛骨遠耑pilon骨摺具有踝關節功能恢複好、併髮癥髮生率低等優點,值得臨床推廣應用.
목적 탐토경피삽입경골원단쇄정강판내고정술여전통절개복위해부쇄정강판내고정술치료경골원단pilon골절적효과.방법 40례경골원단pilon골절환자수궤분위관찰조화대조조각20례,관찰조채용경피삽입경골원단쇄정강판내고정술치료,대조조채용전통절개복위해부쇄정강판내고정술치료,비교량조골절유합시간、병발증발생솔급골절유합우량솔.결과 관찰조골절평균림상유합시간급병발증발생솔분별위(3.0±0.2)개월、5.0％(1/20),명현소우대조조적(4.0±0.3)개월、35.0％(t=12.40,x2=3.91,균P＜0.05).경수방,관찰조우량솔95.0％명현고우대조조적65.0％(x2=4.37,P＜0.05).결론 경피삽입경골원단쇄정강판내고정술치료경골원단pilon골절구유과관절공능회복호、병발증발생솔저등우점,치득림상추엄응용.
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.
