摘要: |
[摘要] 目的 探讨解剖型和锁定型钢板内固定治疗胫骨远端Ruedi-Allgower Ⅲ型Pilon骨折的疗效。方法 回顾性研究2005-10~2015-10收治的80例Ruedi-Allgower Ⅲ型Pilon骨折患者,按内固定治疗方法的不同分为A、B两组各40例。A组接受解剖型钢板内固定治疗;B组接受锁定型钢板内固定治疗。收集术前患者临床基本资料、手术操作时间、骨折愈合时间、临床疗效评估Tornetta评价、Burwell Chamley放射学评价等临床数据并进行对比研究。结果 B组的手术操作时间及骨折愈合时间均显著短于A组(P<0.01)。两组的Tornetta评价及Burwell Chamley放射学评价差异无统计学意义(P>0.05)。结论 锁定型钢板内固定可以缩短手术时间和患者术后愈合时间,与解剖型钢板内固定相比更有利于Ruedi-Allgower Ⅲ型Pilon骨折的治疗。 |
关键词: Pilon骨折 胫骨 钢板 内固定 |
DOI:10.3969/j.issn.1674-3806.2017.11.14 |
分类号:R 683.4 |
基金项目: |
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Comparison of the clinical effect between anatomic plate and locking plate on the treatment of Pilon fracture of Ruedi-Allgower type Ⅲ |
HUANG Ke, SUN Ke
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Department of Orthopeadics, the People′s Hospital of Tiandeng County, Guangxi 532800, China
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Abstract: |
[Abstract] Objective To investigate the clinical effect between anatomic plate and locking plate on the treatment of distal tibial Pilon fracture of Ruedi-Allgower type Ⅲ.Methods The clinical data of 80 patients with Pilon fractures of Ruedi-Allgower type Ⅲ treated in our hospital from October 2005 to October 2015 were retrospectively analyzed. Group A(n=40) underwent anatomic plate internal fixation treatment. Group B(n=40) received locking plate internal fixation for the treatment. The clinical effects were compared between the two groups.Results The operation time and average healing time of group B was significantly shorter than that of group A(P<0.05). There were no significant differences between the two groups in Tornetta evaluation and Burwell Chamley radiological evaluation(P>0.05).Conclusion Locking plate has shorter healing time and shorter operation time than anatomical plate in the treatment of Pilon fracture of Ruedi-Allgower type Ⅲ. |
Key words: Pilon fracture Tibia Plate Internal fixation |