| 汪清.Ruedi-AllgowerⅡ、Ⅲ型闭合性胫骨Pilon骨折应用不同钢板内固定治疗的临床疗效分析[J].浙江中西医结合杂志,2018,28(5): |
| Ruedi-AllgowerⅡ、Ⅲ型闭合性胫骨Pilon骨折应用不同钢板内固定治疗的临床疗效分析 |
| Analysis on Clinical Effect of Different Plate Internal Fixations for Ruedi-AllgowerⅡ、Ⅲ Type Closed Tibial Pilon Fracture |
| 投稿时间：2017-04-09 修订日期：2017-07-26 |
| DOI： |
| 中文关键词: 闭合性胫骨 Pilon 骨折 Ruedi-AllgowerⅡ、Ⅲ型 锁定加压钢板 |
| 英文关键词:Closed Tibial Pilon fracture Ruedi-AllgowerⅡ,Ⅲ type locking compression plate |
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| 中文摘要: |
| 目的 研究Ruedi-AllgowerⅡ、Ⅲ型闭合性胫骨Pilon骨折应用解剖钢板及锁定加压钢板内固定治疗的临床疗效及不良反应。方法 筛选2012年1月-2017年1月我院骨伤科收治的Ruedi-AllgowerⅡ、Ⅲ型闭合性胫骨Pilon骨折的患者50例。根据内固定钢板材料的不同,将患者分为两组,LCP组25例行锁定加压钢板内固定,AP组25例行解剖钢板内固定,对比LCP组和AP组手术平均时间、术中平均出血量、住院平均时间、下地患肢无负重训练平均时间、骨折愈合平均时间、骨折愈合时间、末次随访AOFAS踝-后足评分,并记录不良反应情况。结果 两组患者得到平均11.42±2.31个月的随访,LCP组的手术时间、骨折愈合时间短于AP组,差异具有显著统计学意义( P＜0.05) ; LCP组术后AOFAS踝-后足评分优良率高于AP组,差异具有显著统计学意义(P＜0.05)；LCP组不良反应发生率少于AP组,差异具有显著统计学意义(P＜0.05)；其余指标组间比较差异无显著统计学意义(P＞0.05)。结论Ruedi-AllgowerⅡ、Ⅲ型闭合性胫骨Pilon骨折应用锁定加压钢板内固定可以缩短手术时间及骨折愈合时间,提高临床疗效,减少不良反应发生。 |
| 英文摘要: |
| Objective To study the clinical efficacy and adverse effects of locking compression plate and anatomical plate internal fixations for Ruedi-AllgowerⅡ, type Ⅲ closed tibial Pilon fractures patients. Methods Fifty patients treated in our hospital because of Ruedi-Allgower Ⅱ and type Ⅲ closed tibial Pilon fractures were recruited from January 2012 to January 2017. According to the difference of internal fixation plate material, the patients were divided into two groups. Twenty-five patients in LCP group were treated with locking compression plate and the same number of patients in AP group were treated with anatomical plate fixation.The mean time of operation, the mean time of surgery, the mean time of hospitalization, the mean time of non-weight training, the average time of fracture healing, the time of fracture healing, the last follow-up AOFAS ankle-hind foot score and the adverse reaction were recorded and compared between LCP group and AP group. Results The two groups of patients had been followed up for 11.42 ± 2.31 months. The operation time and fracture healing time of the LCP group were shorter than those of the AP group (P <0.05). Results of ankle joint AOFAS score in last follow-up after operation among two groups of patients showed that the excellent rate of recovery in last follow-up after operation of team A was higher than team B and differences had statistical significance (P <0.05). The incidence of adverse reactions in LCP group was significantly lower than that in AP group (P <0.05 ). There was no statistically significant difference between the other groups (P> 0.05). Conclusion The operation time and fracture healing time can be sharted, and clinical efficacy and the incidence of adverse reactions can be improved with locking compression plate internal fixations for Ruedi-AllgowerⅡ, type Ⅲ closed tibial Pilon fractures patients. |
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