骨折切开复位内固定手术与经皮钢板内固定手术治疗pilon III型骨折的临床研究

目的：分析比较切开复位内固定术与经皮钢板内固定术治疗pilon III型骨折的临床疗效，为治疗pilonIII型骨折选择更好的方法提供依据。方法：选取pilonIII型骨折患者7l例，随机分为对照组35例和观察组36例，比较两组的临床优良率、手术时间、血肿吸收和恢复时间以及后遗症症的发生情况。结果：对照组和观察组的优良率分别为74．29％、94．44％，差异有统计学意义，P〈O．05。观察组的手术时间、血肿吸收和恢复时间均较对照组有缩短，其中以手术时间和恢复时间差异显著，且不良反应相对较少，P〈0．05。结论：切开复位内固定术治疗pilonIII型骨折疗效优于经皮钢板内固定术，能缩短手术及恢复所需时间，对改善患者的预后有重大意义。

Clinical Study on Fractures with Open Reduction and Internal Fixation with Percutaneous Plate Internal in Pilon III Fracture

Objective： To analyze and compare the clinical efficacy of open reduction and internal fixation with internal percutaneous plate on Pilon III Fracture, and to provide a good way to the treatment ofpilon III fractures. Methods： 71 cases ofpilon III fractures were selected, and were randomly divided into control group （35 cases） and observation group （36 cases）. Clinical excellent rate, operative time, hematoma absorption and recovery time as well as the occurrence of disease sequelae of patients were compared. Results： Excellent rates of the control group and the observation group were 74.29% and 94.44%, respectively （the difference was statistically significant, P 〈0.05）. Patients in observation group have the relatively fewer adverse reactions, the shorter operation time, the shorter hematoma absorption and recovery time, compared to those in the control group （the differences of surgery and recovery time were significant, P 〈0.05.）. Conclusion： Clinical efficacy of open reduction and internal fixation on pilon III fracture is superior than percutaneous plate fixation. It can shorten the time required for surgery and recovery, and has a great significance for improving the prognosis of patients.