| 陈绍辉 孙凯 孙国梁 陈演 林基 吴岳嵩.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].,2015,15(24):4726-4728 |
| 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 |
| Efficacy Comparison of Distal Tibial Locking Compression Plate InternalFixation and Anatomical Plate Internal Fixation in the Treatment of PilonFractures |
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| DOI： |
| 中文关键词: Pilon骨折 锁定加压钢板 解剖型钢板 内固定治疗 |
| 英文关键词: Pilon fracture Locking compression plate Anatomic plate internal Internal fixation |
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| 中文摘要: |
| 目的：研究胫骨远端锁定加压钢板（LCP）内固定与解剖型钢板内固定术治疗Pilon 骨折的临床疗效，为其治疗提供临床依
据。方法：选择2010 年1 月~2014 年12 月本院收治的Pilon 骨折患者共90 例，按照随机数字表法随机分为LCP组（采用胫骨远
端LCP 内固定治疗）和对照组（采用解剖型钢板内固定治疗），比较两组患者手术时间、术中出血量、骨折愈合时间和术后疗效。结
果：LCP组患者手术时间、术中出血量和术后愈合时间均小于对照组，差异有统计学意义（P<0.05）；LCP 组患者术后疗效总优良率
为89.6%高于对照组的76.2%，差异有统计学意义（P<0.05）。结论：胫骨远端LCP内固定治疗Pilon 骨折，具有创伤小、手术时间和
术后愈合时间短、术中出血量少、术后疗效总优良率高的优点，是治疗Pilon 骨折的有效方法 |
| 英文摘要: |
| Objective:To study the efficacy of distal tibial locking compression plate (LCP)internal fixation and anatomical plate
internal fixation in the treatment of Pilon fractures, and provide the clinical basis for treatment.Methods:Selected 90 cases of patients
with Pilon fractures who were treated in our hospital from January 2010 to December 2014. They were divided into LCP group(treated
with distal tibial LCP internal fixation) and control group(treated with anatomical plate internal fixation)according to the random number
table method, compared the operation time, peri-operative bleeding, postoperative healing time and postoperative curative effect of two
groups.Results:The operation time, peri-operative bleeding and postoperative healing time of LCP group were less than control group,
the differences were statistically significant (P<0.05); the total excellent and good rate in LCP group was 89.6%, which was significantly
higher than 76.2%in control group (P<0.05).Conclusion:Distal tibial LCP internal fixation is an effective method in the treatment of Pilon
fractures, which with the advantages of smaller trauma, shorter operation and postoperative healing time, less peri-operative bleeding
and higher total excellent and good rate of the postoperative curative effect. |
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