CAJ | 학술논문

目的：观察关节镜辅助技术在胫骨远端Pilon骨折中的应用效果。方法整群选取该院于2010年1月-2013年1月收治的43例胫骨远端Pilon骨折患者的临床资料，将其按照住院先后顺序分为对照组和治疗组，对照组21例患者采用传统的切开复位固定术，治疗组22例患者采用关节镜辅助下切开复位固定术，术后比较两组患者的治疗效果、切口长度、愈合时间以及并发症情况。结果院术后治疗组的平均切口长度12.9 cm短于对照组17.6 cm，比较差异有统计学意义(P<0.05)。通过6~24个月后，对照组中优10例，良4例，可4例，差3例，优良率为66.7%，治疗组中优14例，良6例，可1例，差1例，优良率为90.9%，治疗组优于优于对照组，比较差异有统计学意义(P<0.05)；治疗组的平均愈合时间、并发症发生率均优于对照组，比较差异有统计学意义(P<0.05)。结论在关节镜辅助下对胫骨远端Pilon骨折行切开复位固定的治疗效果显著，降低并发症发生率，安全有效，值得临床推广应用。
목적：관찰관절경보조기술재경골원단Pilon골절중적응용효과。방법정군선취해원우2010년1월-2013년1월수치적43례경골원단Pilon골절환자적림상자료，장기안조주원선후순서분위대조조화치료조，대조조21례환자채용전통적절개복위고정술，치료조22례환자채용관절경보조하절개복위고정술，술후비교량조환자적치료효과、절구장도、유합시간이급병발증정황。결과원술후치료조적평균절구장도12.9 cm단우대조조17.6 cm，비교차이유통계학의의(P<0.05)。통과6~24개월후，대조조중우10례，량4례，가4례，차3례，우량솔위66.7%，치료조중우14례，량6례，가1례，차1례，우량솔위90.9%，치료조우우우우대조조，비교차이유통계학의의(P<0.05)；치료조적평균유합시간、병발증발생솔균우우대조조，비교차이유통계학의의(P<0.05)。결론재관절경보조하대경골원단Pilon골절행절개복위고정적치료효과현저，강저병발증발생솔，안전유효，치득림상추엄응용。
Objective To observe the arthroscopic-assisted technique in the treatment of distal tibial Pilon fractures effect. Methods Clinical data of patients with distal tibial Pilon fracture admitted to our hospital between January 2010 and January 2013 were selected and divided into control group and treatment group in accordance with the order of hospitalization. 21 patients in the control group received traditional open reduction and fixation, while 22 patients in the treatment group were treated with arthroscopic-assisted open reduction and fixation. The therapeutic effect, length of the incision, healing time and complications of the two groups were compared. Results The average incision length ,12.9cm, of the treatment group was shorter than that of the control group ,17.6cm, and the difference was statistically significant (P<0.05). By 6 to 24 months after the control group were excellent in 10 cases, good in 4 cases, 4 cases, 3 cases of poor, good rate of 66.7%in the treatment group were excellent in 14 cases, good in 6 cases, 1 case, the difference between a cases, good rate of 90.9%, better than the treatment group than in the control group, the difference was statistically significant (P<0.05);the average healing time of the treatment group, the complication rate than the control group, a significant difference compare (P<0.05). Conclusion Arthroscopic-assisted distal tibial Pilon fractures underwent open reduction and internal fixation of a significant treatment effect, reduce the incidence of complications, safe, effective and worthy of clinical application.