摘要
目的研究前外侧入路L型锁定钢板治疗粉碎性Pilon骨折的疗效及安全性。方法选取本院骨科自2015年6月至2016年8月收治的48例粉碎性Pilon骨折患者，按随机法分为对照组和观察组各24例，对照组给予胫骨远端解剖钢板法治疗，观察组给予胫骨远端前外侧入路L型锁定板治疗，比较围手术期指标、术后功能评价及并发症发生率。结果观察组各项围手术期指标[手术时间（63．74±5．89）min、术中出血量（114．80±13．54）ml、住院时间（15．48±5．26）d、骨折愈合时间（12．63±4．96）w]及并发症发生率（12．50％）均明显低于对照组，观察组的功能优良率为91．67％，明显高于对照组，差异有统计学意义（P〈0．05）。结论采用前外侧入路L型锁定钢板治疗粉碎性Pilon骨折，患者术后骨折复位情况及疗效良好，并发症发生率低。
Objective To study the efficacy and safety of anterolateral approach L locking plate in the treatment of comminuted Pilon fractures. Methods 48 cases of comminuted Pilon fractures treated in department of orthopedics of our hospital from June 2015 to August 2016 were randomly divided into control group and observation group, 24 cases in each group. The control group was treated with distal tibial anatomical plate, while the observation group was treated with anterolateral distal tibial L locking plate. The perioperative indexes, postoperative functional evaluation indexes, and the incidence of complications were compared. Results The perioperative indexes [operation time （63.74±5.89） min, the amount of bleeding during operation （114.80±13.54） ml, hospitalization time （15.48±5.26） d, the healing time （12.63±4.96） w] and the incidence of complications （12.50%） of the observation group were significantly lower than those of the control group, the excellent rate of the function （91.67%） was significantly higher than that of the control group, with statistically significant differences （P〈0.05）. Conclusion Anterolateral L locking plate in the treatment of comminuted Pilon fractures, has good postoperative fracture reduction and curative effect, low incidence of complications.
作者
周树立
刘志勋
罗天放
Zhou Shuli, Liu Zhixun, Luo Tianfang(Department of Orthopedics, The Second People＇s Hospital of Xinzheng City, Xinzheng 451100, Chin)
出处
《国际医药卫生导报》
2018年第5期674-676,共3页
International Medicine and Health Guidance News
作者简介
通信作者：周树立，E—mail：r5405676047@126．com
