高能量Pilon骨折分期治疗两种不同固定方法疗效的比较

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Abstract Objective To compare high-energy Pilon fractures the efficacy of locking compression plate fixation and limited internal fixation combined with external fixation in staging treatment of high energy pilon fracture. Method The clinical data of fifty-six patients with high-energy Pilon fractures were retrospective analyzed. Calcaneal traction or plaster external fixation brace were used early. According to the fixation methods, they were divided into two groups: group A of 27 cases were treated with open reduction and internal fixation of locking compression plate; group B of 29 patients underwent minimally invasive limited internal fixation combined with external fixation. Fracture healing time, ankle joint function recovery, complications in the two groups were compared. Result In group A, fracture healing time was (4.9±0.6) months, in group B (5.2±0.7) months, the two groups had no statistically significant difference. Ankle joint function recovery rate (81.5%) in group A and group B (75.9%), the difference was not statistically significant. Complications occurred in 5 cases (18.5%) in group A, 7 cases (24.1%) in group B, the difference between the two groups was not statistically significant; but the infection rate in group A (14.8%) was higher than that in group B (0) (P<0.05). Conclusions In the high-energy Pilon fractures staging treatment, the above two treatment method can obtain satisfactory results and effect, but for those associated with severe soft tissue injuries, minimally invasive limited internal fixation combined with external fixation treatment has lower risk of infection.

Key words： high-energy injuries Pilon fracture internal fixation external fixation effect

Received: 24 March 2015

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	Articles by authors
	CAO Qianlai
	WANG An
	WANG Liangyi
	FENG Mingguang
	WANG Jian

Cite this article:

CAO Qianlai,WANG An,WANG Liangyi等. Curative effect of high-energy Pilon fractures in staging treatment: comparison of two different fixed methods[J]. Med. J. Chin. Peop. Armed Poli. Forc., 2015, 26(9): 907-909.

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http://journal08.magtechjournal.com/Jwk_wjyx/EN/ OR http://journal08.magtechjournal.com/Jwk_wjyx/EN/Y2015/V26/I9/907

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