胫骨远端锁定加压钢板治疗复杂Pilon骨折的临床效果

Abstract
Figure/Table
References (15)
Related Citation (15)

Download: PDF (0 KB) HTML (32 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To investigate the clinical effect of distal tibial locking compression plate in the treatment of complex Pilon fracture.Methods A total of 60 patients with complex Pilon fracture (excluding typeⅠPilon fracture)admitted to our hospital from June 2015 to June 2018 were selected and randomly divided into the observation group(30 cases)and the control group (30 cases).Both groups were given continuous combined spinal-epidural anesthesia.The control group was treated with anatomical compression plate internal fixation.The observation group was treated with distal tibial locking compression plate internal fixation.The operative effect,operation time,recovery time,hospitalization time and complications (incision infection,skin necrosis,ankle swelling,ankle stiffness,delayed fracture healing)were compared between the two groups.Results The total effective rate in the observation group was 95.5%,which was significantly higher than that in the control group (77.8%),the difference was statistically significant(P＜0.05).The operation time,recovery time and hospitalization time in the observation group were shorter than those of the control group,the difference was statistically significant(P＜0.05).The incidence rate of complication in the observation group was 8.8%,which was significantly lower than that in the control group (26.7%),the difference was statistically significant(P＜0.05).Conclusion The treatment of complex Pilon fracture with locking compression plate of distal tibia has remarkable curative effect,with fewer complications and quick recovery after operation.It is worth popularizing and applying in clinic.

Key words： Complex pilon fracture Distal tibia Locking compression plate Plate internal fixation Therapeutic effect analysis

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	ZHANG Wen-ge
	YANG Lin
	LIANG Xi-zhang

Cite this article:

ZHANG Wen-ge,YANG Lin,LIANG Xi-zhang. Clinical effect of distal tibial locking compression plate in the treatment of complex Pilon fracture[J]. 中国当代医药, 2019, 26(16): 135-137转141.

URL:

http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2019/V26/I16/135

[1]	林伟鹏，叶劲，邹仲兵，等.切开复位胫骨远端解剖锁定钢板内固定术治疗胫骨Pilon骨折的临床效果[J].中国当代医药，2015，22（34）：109-111.
[2]	刘立志.胫骨远端解剖和锁定钢板内固定术治疗Pilon骨折效果的临床比较[J].双足与保健，2018，5（9）：142-144.
[3]	孔劲松，陈滔，郑鑫，等.胫骨远端双钢板治疗复杂Pilon骨折的临床疗效分析[J].浙江临床医学，2016，18（8）：1425-1426.
[4]	孙立恒，马东弟，杨振建，等.锁定加压钢板内固定治疗胫骨 Pilon 骨折临床疗效观察[J].海南医学，2016，27（1）：133-135.
[5]	蔚青松，王博.复杂Pilon骨折应用胫骨远端解剖锁定钢板治疗的临床效果[J].临床医学研究与实践，2016，2（24）：26-27.
[6]	王斌，汪志中，张帆，等.锁定加压钢板与解剖钢板内固定修复Pilon骨折的比较[J].中国组织工程研究，2015，15（13）：2091-2095.
[13]	杜曼·吐鲁木汗，库瓦提·绕线，祖帕尔·苏莱曼，等.解剖型锁定钢板对粉碎性Pilon骨折疗效的影响[J].创伤外科杂志，2018，20（11）：864-865.
[14]	王镭，乔军杰，曹光磊，等.临时外固定结合二期切开复位内固定治疗复杂Pilon骨折的疗效分析[J].北京医学，2019，41（2）：115-117.
[15]	周兆城，郭九生，洪太阳.有限切开复位内固定外固定支架在复杂胫骨远端Pilon骨折中的应用[J].中国当代医药，2016，23（35）：31-33.
[7]	王登峰，刘栋，林凡国，等.胫骨远端解剖锁定钢板治疗复杂Pilon骨折临床疗效分析[J].中国中西医结合外科杂志，2016，3（2）：171-173.
[8]	王筠.有限切开锁定钢板内固定治疗胫骨Pilon骨折的临床效果分析[J].中国实用医药，2016，11（7）：115-116.
[9]	杨洪佳，魏刚，郭飞，等.经皮锁定加压钢板固定与交锁髓内钉固定治疗胫骨远端关节外骨折效果观察[J].当代医学，2019，25（5）：69-71.
[10]	张鹏，刘国辉.MIPO技术联合锁定加压钢板治疗胫骨中下段闭合骨折[J].临床骨科杂志，2018，21（3）：346-347.
[11]	陈绍辉，孙国梁，孙凯，等.胫骨远端锁定加压钢板与解剖型钢板内固定治疗Pilon骨折的疗效比较[J].现代生物医学进展，2015，15（24）：4726-4728.
[12]	孙克里，袁志，毕龙，等.解剖型锁定钢板治疗Pilon骨折的临床疗效分析[J].现代生物医学进展，2014，14（31）：6090-6092.