CAJ | 학술논문

目的：探讨锁定钢板（LCP）在治疗 pilon 骨折中的临床疗效。方法回顾性分析广饶县人民医院2012年3月至2014年10月收治的80例 pilon 骨折患者临床资料，按内固定材料分为研究组（LCP 内固定）和对照组（解剖钢板内固定），比较两组患者临床指标、复位效果、Tornetta 临床疗效和不良反应发生情况。结果研究组手术时间及愈合时间均较对照组短，组间比较差异有统计学意义（P＜0．05）；两组患者 Tornetta 疗效对比差异无统计学意义（P＞0．05）；两组患者放射学复位效果对比差异无统计学意义（ P ＞0．05）；研究组仅发生3例感染（7．50％），对照组共发生12例（30．00％）不良反应，包括4例感染、3例延迟愈合、3例不愈合、2例内置物断裂，研究组不良反应发生率显著低于对照组，差异有统计学意义（χ2＝6．646，P ＜0．05）。结论锁定钢板内固定和解剖钢板内固定有相近的复位效果和临床治疗效果，但锁定钢板内固定术后康复更快，安全性更好，临床应用价值更大。
목적：탐토쇄정강판（LCP）재치료 pilon 골절중적림상료효。방법회고성분석엄요현인민의원2012년3월지2014년10월수치적80례 pilon 골절환자림상자료，안내고정재료분위연구조（LCP 내고정）화대조조（해부강판내고정），비교량조환자림상지표、복위효과、Tornetta 림상료효화불량반응발생정황。결과연구조수술시간급유합시간균교대조조단，조간비교차이유통계학의의（P＜0．05）；량조환자 Tornetta 료효대비차이무통계학의의（P＞0．05）；량조환자방사학복위효과대비차이무통계학의의（ P ＞0．05）；연구조부발생3례감염（7．50％），대조조공발생12례（30．00％）불량반응，포괄4례감염、3례연지유합、3례불유합、2례내치물단렬，연구조불량반응발생솔현저저우대조조，차이유통계학의의（χ2＝6．646，P ＜0．05）。결론쇄정강판내고정화해부강판내고정유상근적복위효과화림상치료효과，단쇄정강판내고정술후강복경쾌，안전성경호，림상응용개치경대。
Objective To investigate the clinical effects of locking plate (LCP) on the treatment of pilon frac‐ture .Methods A retrospective analysis was made on the clinical data of 80 cases of patients with pilon fracture from March 2012 to October 2014 .The patients were divided into research group (LCP internal fixation) and control group (anatomical plate internal fixation) ,according to the internal fixation material .The clinical indicators ,reduction effects ,Tornetta clinical effects and adverse reactions between two group were compared .Results The operation time and healing time of research group were shorter than control group ,difference were statistically significant (P<0 .05) .Tornetta clinical effects between two group had no statistical difference ( P > 0 .05) .Radiology reduction effects between two group had no statistical difference (P> 0 .05) .3 cases (7 .50% ) of infection occurred in research group ,while 12 cases (30 .00% ) of adverse reactions occurred in control group ,including 4 cases of infection ,3 cases of delayed healing ,3 cases of nonunion and 2 cases of implant rupture .The incidence of adverse reaction of research group was significantly lower than control group (χ2 = 6 .646 ,P< 0 .05) .Conclusion LCP internal fixation has simi‐lar reduction effects and Tornetta clinical effects with anatomic plate internal fixation ,but it has better rehabilitation speed and safety ,with a greater value of clinical application .