胫骨远端后外侧入路与前内侧入路治疗Pilon骨折临床疗效比较

doi:10.3969/j.issn.1671-7171.2022.03.011

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Abstract 【Objective】To investigate the effects of distal tibial posterolateral approach and anteromedial approach on Pilon fracture and perioperative complications. 【Methods】A total of 78 patients with Pilon fracture treated in the Department of orthopedics, Zhabei Central Hospital, Jing'an District, Shanghai from January 2018 to January 2021 were randomly divided into observation group and control group. The control group adopted the anteromedial approach of distal tibia, and the observation group adopted the posterolateral approach of distal tibia. The basic data, surgical indexes, recovery and perioperative complications of the two groups were compared. 【Results】The operation time of the observation group was longer and the fracture healing time was shorter than that of the control group (P<0.05). One month after operation, the visual analogue pain score (VAS) of the observation group was lower than that of the control group, and the ankle score of the American foot and ankle surgery association (AOFAS) was higher than that of the control group (P<0.05). At 6 months after operation, the VAS of the two groups was lower than that of 1 month after operation, while the AOFAS ankle score of the control group was higher than that of 1 month after operation (P<0.05); The total excellent rate of the observation group was higher than that of the control group(87.18% vs 66.67%,χ²=4.622,P<0.05);There was no significant difference in the incidence of perioperative complications between the two groups (10.26% vs 17.95%,χ²=0.953,P>0.05).【Conclusion】Compared with the anteromedial approach of the distal tibia, the posterolateral approach in the treatment of Pilon fracture can shorten the fracture healing time, reduce postoperative pain, improve AOFAS ankle score, and have a good effect on the recovery of joint function, which is safe and reliable.

Key words： Tibial Fractures/TH Treatment Outcome

Received: 12 January 2022

PACS:

R683.423

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	DAI Jie
	OUYANG Yue-ping
	YANG Liu-xie
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Cite this article:

DAI Jie,OUYANG Yue-ping,YANG Liu-xie, et al. Clinical Comparison of Distal Tibial Posterolateral Approach and Anteromedial Approach in the Treatment of Pilon Fracture[J]. JOURNAL OF CLINICAL RESEARCH, 2022, 39(3): 359-362.

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http://journal07.magtech.org.cn/yxlcyj/EN/10.3969/j.issn.1671-7171.2022.03.011 OR http://journal07.magtech.org.cn/yxlcyj/EN/Y2022/V39/I3/359

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