[1]宋 鹏,李红旗,窦均平,等.调节式外固定牵引装置在Pilon骨折分期治疗中的应用[J].医学信息,2021,34(02):122-124.[doi:10.3969/j.issn.1006-1959.2021.02.032]
　SONG Peng,LI Hong-qi,DOU Jun-ping,et al.Application of Adjustable External Fixation Traction Device in Staged Treatment of Pilon Fracture[J].Medical Information,2021,34(02):122-124.[doi:10.3969/j.issn.1006-1959.2021.02.032]
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调节式外固定牵引装置在Pilon骨折分期治疗中的应用()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
34卷
期数:
2021年02期
页码:
122-124
栏目:
临床研究
出版日期:
2021-01-15

文章信息/Info

Title:
Application of Adjustable External Fixation Traction Device in Staged Treatment of Pilon Fracture
文章编号:
1006-1959（2021）02-0122-03
作者:
宋 鹏; 李红旗; 窦均平; 等
（河南中医药大学第二附属医院创伤外科，河南 郑州 450002）
Author(s):
SONG Peng; LI Hong-qi; DOU Jun-ping; et al.
(Department of Traumatology,the Second Affiliated Hospital of Henan University of Chinese Medicine, Zhengzhou 450002,Henan,China)
关键词:
牵引装置; Pilon骨折; 分期治疗; 软组织损伤
Keywords:
Traction device; Pilon fracture; Staging treatment; Soft tissue injury
分类号:
R641
DOI:
10.3969/j.issn.1006-1959.2021.02.032
文献标志码:
A
摘要:
目的 探讨应用可调整式外固定牵引装置进行Pilon骨折一期牵引复位治疗的价值。方法 选择2017年10月~2019年10月我院骨科收治的胫骨Pilon骨折患者56例，采用随机数字表法分为实验组和对照组，各28例；对照组采用常规跟骨牵引方式治疗，实验组给予牵引并放置在自制足踝固定牵引器中治疗，比较水疱消失时间、皮纹出现时间、二期手术等待时间、术前内外踝直径、骨折复位情况及并发症发生情况。结果 实验组水疱消失时间、皮纹出现时间、二期手术等待时间、术前内外踝直径均优于对照组，差异有统计学意义（P＜0.05）；实验组骨折复位优良率为78.57%，高于对照组的57.14%，差异有统计学意义（P＜0.05）；两组均未出现严重并发症。结论 胫骨远端Pilon骨折分期治疗中一期用自制调节式外固定牵引装置治疗，可以改善皮肤软组织条件并缩短病程，提高后期骨折复位优良率。
Abstract:
Objective To explore the value of using adjustable external fixation traction device for primary traction reduction treatment of Pilon fracture.Methods From October 2017 to October 2019, 56 patients with tibial Pilon fractures admitted to our hospital’s orthopedics department were selected and divided into the experimental group and the control group by random number table, 28 cases in each; the control group was treated by conventional calcaneal traction. The experimental group was treated with traction and placed in a self-made fixed traction device for ankle and ankle, and compared the disappearance time of blisters, the appearance time of skin streaks, the waiting time for the second stage operation, the diameter of the internal and external malleolus before operation, the reduction of fractures and the occurrence of complications.Results The experimental group’s blister disappearance time, dermatoglyphic appearance time, second-stage operation waiting time, preoperative internal and external malleolus diameter were better than those of the control group, the difference was statistically significant (P<0.05);The excellent and good rate of fracture reduction in the experimental group was 78.57%, which was higher than 57.14% in the control group,the difference was statistically significant (P<0.05); there were no serious complications in the two groups.Conclusion In the staged treatment of Pilon fractures of the distal tibia, the self-made adjustable external fixation traction device is used to treat the first stage, which can improve the skin and soft tissue conditions and shorten the course of the disease, and increase the good rate of fracture reduction in the later stage.

参考文献/References:

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更新日期/Last Update: 1900-01-01