CAJ | 학술논문

目的：研究Pilon骨折术后踝穴形态改变与踝关节功能关系。方法选择50例接受手术治疗的Pilon骨折患者，依据Mazur评分法对患者患侧的踝关节功能实施评分分组：优组（93～100分）29例，良组（87～92分）12例，可、差组（＜87分）9例。治疗后对比患者患侧和健侧的踝穴宽度和深度、冠状位角度及矢状位角度，各组踝穴在患侧和健侧的差值，并进一步进行各组组内比较分析。结果患者患侧的踝穴宽度和深度、冠状位角度及矢状位角度均显著大于健侧（P均＜0．05），但踝穴高度比较差异无统计学意义；3组在宽度差、深度差、冠状位角度差、矢状位角度差方面比较差异均有统计学意义（P均＜0．05），但高度差比较差异无统计学意义；3组踝穴宽度和深度、冠状位角度及矢状位角度两两比较差异均有统计学意义（P均＜0．05）。结论 Pilon骨折术后踝穴形态变化可能对患者踝关节的功能恢复产生影响，值得重视。
목적：연구Pilon골절술후과혈형태개변여과관절공능관계。방법선택50례접수수술치료적Pilon골절환자，의거Mazur평분법대환자환측적과관절공능실시평분분조：우조（93～100분）29례，량조（87～92분）12례，가、차조（＜87분）9례。치료후대비환자환측화건측적과혈관도화심도、관상위각도급시상위각도，각조과혈재환측화건측적차치，병진일보진행각조조내비교분석。결과환자환측적과혈관도화심도、관상위각도급시상위각도균현저대우건측（P균＜0．05），단과혈고도비교차이무통계학의의；3조재관도차、심도차、관상위각도차、시상위각도차방면비교차이균유통계학의의（P균＜0．05），단고도차비교차이무통계학의의；3조과혈관도화심도、관상위각도급시상위각도량량비교차이균유통계학의의（P균＜0．05）。결론 Pilon골절술후과혈형태변화가능대환자과관절적공능회복산생영향，치득중시。
Objective It is to explore the relation between morphological changes of ankle mortise and ankle function after Pilon fracture surgery .Methods 50 patients with Pilon fracture received surgical treatment were enrolled and grouped based on the scores of ankle function on the affected side using Mazur scoring system .There 29 cases in excellent group (93-100), 12 cases in good group (87-92), and 9 cases in bad group(<87).After the surgery, the ankle mortise function indicators on the affected and uninjured side were compared .The differences of the ankle mortise function indicators on the affected and un-injured side among different groups were also recorded , followed by intra-group comparative analysis .Results The width and depth of ankle mortise , coronal angle and sagittal angle on the affected side were all significantly greater than those on the un -injured side,and the differences were statistically significant (All P<0.05), but there was no significant differences between the height of ankle mortise (P>0.05).Significant differences existed in width difference , depth difference, coronal and sag-ittal angle difference among different groups (All P<0.05), and no significant difference existed in height difference among different groups (P>0.05).The differences in ankle mortise width, depth, coronal and sagittal angle were found among dif-ferent groups (All P<0.05).Conclusion The morphological changes of ankle mortise after the Pilon fracture surgery might have impact on ankle function recovery , and it should be paid special attention .