[1]余同林,程后庆.改良Allgower-Donati缝合在Pilon骨折切开复位内固定术中的临床应用[J].医学信息,2022,35(05):87-90.[doi:10.3969/j.issn.1006-1959.2022.05.021]
 YU Tong-lin,CHENG Hou-qing.Clinical Application of Modified Allgower-Donati Suture in Open Reduction and Internal Fixation of Pilon Fracture[J].Medical Information,2022,35(05):87-90.[doi:10.3969/j.issn.1006-1959.2022.05.021]
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改良Allgower-Donati缝合在Pilon骨折切开复位内固定术中的临床应用()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
35卷
期数:
2022年05期
页码:
87-90
栏目:
论著
出版日期:
2022-03-01

文章信息/Info

Title:
Clinical Application of Modified Allgower-Donati Suture in Open Reduction and Internal Fixation of Pilon Fracture
文章编号:
1006-1959(2022)05-0087-04
作者:
余同林程后庆
(1.安徽中医药大学芜湖市中医医院专硕研究生培养基地,安徽 芜湖 241000;2.芜湖市中医医院创伤骨二科,安徽 芜湖 241000)
Author(s):
YU Tong-linCHENG Hou-qing
(1.Professional Postgraduate Training Base of Wuhu Hospital of Traditional Chinese Medicine,Anhui University of Chinese Medicine,Wuhu 241000,Anhui,China;2.The Second Department of Traumatic Orthopedics,Wuhu Hospital of Traditional Chinese Medicine,Wuhu 241000,Anhui,China)
关键词:
改良Allgower-Donati缝合垂直褥式缝合Pilon骨折
Keywords:
Modified Allgower-Donati sutureVertical mattress suturePilon fractures
分类号:
R683.42
DOI:
10.3969/j.issn.1006-1959.2022.05.021
文献标志码:
A
摘要:
目的 探讨改良Allgower-Donati缝合法在Pilon骨折切开复位内固定术中的临床效果。方法 选择2019年9月-2020年11月芜湖市中医医院收治的40例Pilon骨折患者为研究对象,采用随机数字表法分为对照组和观察组,每组20例。两组均行骨折切开复位内固定术,对照组采用普通垂直褥式缝合法,观察组采用改良Allgower-Donati缝合法,比较两组临床指标(手术时间、缝合时间、切口引流时间)、术后疼痛程度、临床疗效及术后切口并发症发生情况。结果 两组手术时间、缝合时间,引流时间比较,差异无统计学意义(P>0.05);两组术后第2天、术后第1、2周VAS评分比较,差异无统计学意义(P>0.05);观察组优良率为95.00%,高于对照组的85.00%,差异有统计学意义(P<0.05);观察组切口并发症总发生率为5.00%,低于对照组的20.00%,差异有统计学意义(P<0.05)。结论 相较于传统垂直褥式缝合方法,改良Allgower-Donati缝合法在Pilon骨折切开复位内固定术中的应用效果确切,可减少术后切口并发症发生几率,提升疗效。
Abstract:
Objective To investigate the clinical effect of modified Allgower-Donati suture in open reduction and internal fixation of Pilon fracture.Methods A total of 40 Pilon fracture patients admitted to Wuhu Hospital of Traditional Chinese Medicine from September 2019 to November 2020 were selected and randomly divided into control group and observation group, with 20 cases in each group. The two groups were treated with open reduction and internal fixation of fractures. The control group was treated with ordinary vertical mattress suture, and the observation group was treated with modified Allgower-Donati suture. The clinical indexes (operation time, suture time, incision drainage time), postoperative pain, clinical efficacy and postoperative incision complications of the two groups were compared.Results There was no significant difference in operation time, suture time and drainage time between the two groups (P>0.05). There was no significant difference in VAS score between the two groups at 2 days, 1 week and 2 weeks after operation (P>0.05). The excellent and good rate of the observation group was 95.00%, which was higher than 85.00% of the control group, and the difference was statistically significant (P<0.05). The total incidence of incision complications in the observation group was 5.00%, which was lower than 20.00% in the control group, and the difference was statistically significant (P<0.05).Conclusion Compared with the traditional vertical mattress suture method, the application effect of improved Allgower-Donati suture in open reduction and internal fixation of Pilon fracture is accurate, which can reduce postoperative incision complications and improve curative effect.

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更新日期/Last Update: 1900-01-01