CAJ | 학술논문

目的：探讨锁定钢板结合微创经皮接骨板置入在C型Pilon骨折中的疗效及安全性。方法统计分析2012年1月—2014年1月收治的25例C型Pilon骨折患者的临床资料。结果 AO/OTA C1组和AO/OTA C 2组固定后踝关节功能恢复优良率100%（9/9）、90.9%（10/11），均明显比AO/OTA C 3组60%（3/5）高（P<0.05），但AO/OTA C 1组和AO/OTA C 2组固定后踝关节功能恢复优良率之间的差异不显著（P>0.05）；开放性骨折与闭合性骨折临床功能恢复优良率80%（4/5）、85%（17/20），差异不显著（P>0.05）。结论锁定钢板结合微创经皮接骨板置入在C型Pilon骨折中安全有效，值得推广。
목적：탐토쇄정강판결합미창경피접골판치입재C형Pilon골절중적료효급안전성。방법통계분석2012년1월—2014년1월수치적25례C형Pilon골절환자적림상자료。결과 AO/OTA C1조화AO/OTA C 2조고정후과관절공능회복우량솔100%（9/9）、90.9%（10/11），균명현비AO/OTA C 3조60%（3/5）고（P<0.05），단AO/OTA C 1조화AO/OTA C 2조고정후과관절공능회복우량솔지간적차이불현저（P>0.05）；개방성골절여폐합성골절림상공능회복우량솔80%（4/5）、85%（17/20），차이불현저（P>0.05）。결론쇄정강판결합미창경피접골판치입재C형Pilon골절중안전유효，치득추엄。
Objective To investigate the effect and safety of locking plate combined with minimally invasive percutaneous plate implantation in C type Pilon fractures. Methods From January 2012 to January 2014, 25 cases of Pilon type C fractures were analyzed. Results After fixation of Ao group C1 and AO/OTA C2 groups the excellent and good rate was 100% (9/9), 90.9% (10/11), ankle joint function restore were significantly than AO C3 group were 60% (3/5) high (P<0.05), but between group C1 and AO/OTA C2 groups there was not significant (P>0.05);The excellent and good recovery rate was 80% (4/5), 85% (17/20) of open fracture and closed fractures the difference was not significant (P>0.05). Conclusion Locking plate combined with minimally invasive percutaneous plate implantation in C type Pilon fractures is safe and effective, worthy of promotion.