微创医学

目的分析闭合复位微创小切口内固定治疗pilon骨折的临床效果。方法选取65例pilon骨折患者为研究对象，将其随机分为实验组33例和对照组32例。实验组采用闭合复位微创小切口内固定治疗，对照组采用早期切开钢板螺钉内固定治疗。比较两组手术指标的变化及其临床疗效。结果实验组手术时间、出血量及住院时间均明显少于对照组（P＜0.05）；实验组患者优良率（93.9%）高于对照组（84.3%），两组比较，差异具有统计学意义（P＜0.05）。结论闭合复位微创小切口内固定治疗pilon骨折具有良好的临床疗效，能够显著改善患者的踝关节活动度，值得临床推广应用。

ObjectiveTo analyze the clinical effect of closed reduction and internal fixation with small incision in the treatment of pilon fracture. MethodsA total of 65 patients with pilon fractures were selected as the research objects and divided into experimental group (33 cases) and control group(32). Patients in experimental group were treated with closed reduction and small incision minimally invasive internal fixation, and patients in control group were treated with steel screw internal fixation. The changes of operation indicators and the clinical efficacy were compared. ResultsThe operation time, blood loss and hospital stay of experimental group were significantly better than those of control group (P＜0.05); The excellent rate of experimental group (93.9%) was higher than that of control group (84.3%), the difference was statistically significant (P＜0.05) . ConclusionClosed reduction and small incision minimally invasive internal fixation has good clinical curative effect in the treatment of pilon fractures; it can significantly improve the patient’s ankle mobility and is worthy of clinical popularization and application.

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