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

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(P0.05);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(P0.05)。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

Efficacy Comparison of Distal Tibial Locking Compression Plate Internal Fixation and Anatomical Plate Internal Fixation in the Treatment of Pilon Fractures

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.