Comparative study of the clinical effect of locking plate and anatomical plate in the treatment of Pilon fracture
10.3760/cma.j.issn.1008-6706.2016.09.030
- VernacularTitle:锁定钢板与解剖钢板内固定治疗Pilon 骨折的疗效比较
- Author:
Yun LING
;
Rui ZHANG
;
Yuhong ZHANG
;
Yuehua DU
;
Yujin DUAN
;
Qingfen GU
;
Jianxin LIU
;
Liping ZHANG
- Publication Type:Journal Article
- Keywords:
Tibial fractures;
Fracture fixation,internal;
Bone wires
- From:
Chinese Journal of Primary Medicine and Pharmacy
2016;23(9):1397-1400
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the clinical effect of two kinds of internal fixation of locking plate and anatomical plate in the treatment of Pilon fracture.Methods 64 patients with Pilon fracture undergoing elective surgery were randomly divided into study group and control group by digital table method,32 cases in each group.The study group received locking plate internal fixation for the treatment,the control group was treated with anatomical plate internal fixation.The clinical efficacy and safety of two kinds of internal fixation methods were compared.Results After treatment,the excellent rate of ankle joint function in the study group(96.88%)was significantly higher than that in the control group (81.25%),and the difference had statistical ssignificance (χ2 =4.01,P <0.05 ).The operative time,hospitalization time and fracture healing time[(57.32 ±10.98)min,(13.72 ±591 )d,(15.72 ± 2.82)weeks]in the study group were shorter than those in the control group[(68.11 ±11.85 )min,(16.62 ± 5.21)d,(17.81 ±3.42)weeks],and the differences had statistical significance(t =3.98,3.11,321,all P <0.05). The amount of bleeding (153.32 ±21.36)mL in the study group was less than that in the control group [(188.65 ± 26.24)mL](t =5.46,P <0.05).The incidence rate of delayed fracture healing of the study group (3.13%)was significantly lower than that in the control group(28.13%),the difference had statistical significance(χ2 =7.59,P <0.05).There were no significant differences in the incidence of other complications between the two groups(χ2 =1.95,102,102,0.35,all P >0.05).Conclusion Locking plate fixation in the treatment of Pilon fractures could significantly promote the recovery of joint function,and has the advantages of short operation time,fast fracture healing,less complications and other advantages,it is better than anatomical plate internal fixation.
