摘要
目的探讨L型胫骨远端锁定解剖钢板微创治疗Pilon骨折的临床效果。方法选取2013年12月~2017年12月我院收治的102例Pilon骨折患者进行回顾性分析,将患者根据不同的治疗方法分成两组,每组各51例。对照组采用跟骨骨钉牵引治疗,观察组采用L型胫骨远端锁定解剖钢板微创治疗。观察两组的治疗效果。结果观察组的治疗总有效率高于对照组,差异有统计学意义(P<0.05)。观察组术中出血量少于对照组,手术时间和住院时间短于对照组,差异有统计学意义(P<0.05)。观察组的并发症总发生率低于对照组,差异有统计学意义(P<0.05)。结论L型胫骨远端锁定解剖钢板微创治疗Pilon骨折能有效提高患者的治疗效果,缩短住院时间,减少并发症的发生,安全有效。
Objective To investigate the clinical effect of minimally invasive treatment of Pilon fractures with L-shaped distal iliac locking anatomical plate.Methods 102 patients with Pilon fractures were selected in our hospital from December 2013 to December 2017.Retrospective analysis was performed.The patients were divided into two groups according to different treatment methods,51 cases in each group.The control group was treated with calcaneal nail traction,the observation group was used the L-shaped distal humerus locking anatomical plate for minimally invasive treatment.The therapeutic effects of the two groups of patients were observed.Results The total effective rate of treatment in the observation group was higher than that in the control group,the difference was statistically significant (P<0.05).The intraoperative blood loss in the observation group was less than that in the control group,and the operation time and hospitalization time were shorter than the control group,the differences were statistically significant (P<0.05).The total incidence of complications in the observation group was lower than that in the control group,and the difference was statistically significant (P<0.05).Conclusion Minimally invasive treatment of Pilon fractures with L-shaped distal iliac locking anatomical plate can effectively improve the treatment effect of patients,shorten hospital stay and reduce the incidence of complications,safe and effective.
作者
王铁锤
宋俊杰
WANG Tie-chui;SONG Jun-jie(The Fifth Department of Orthopaedics,General Hospital of Jinmei Group,Shanxi Province,Jincheng 048006,China)
出处
《中国当代医药》
2019年第22期92-94,共3页
China Modern Medicine
