【作者】 李伟；

【导师】 李刚；

【作者基本信息】 山东中医药大学 ， 中医骨伤科学（专业学位）， 2019， 硕士

【摘要】 目的:通过比较胫骨远端经皮锁定钛板内固定术(MIPPO)与解剖型钢板内固定术治疗Pilon骨折的临床疗效,为经皮锁定钛板内固定术(MIPPO)治疗pilon骨折的优势提供牢靠的临床数据支撑。方法:搜集山东中医药大学附属医院骨科病房自2015年12月～2017年12月间治疗的40例Pilon骨折患者资料,分为A(治疗组)、B(对照组)两组。A组为经皮锁定钛板内固定术(MIPPO)治疗组,B组为解剖型钢板内固定术治疗组,其病例数均为20例。两组患者术前术后均服用桃红四物汤加减方,来活血化瘀,收消肿之疗效。手术过程根据病人自身情况制定具体方案,尽最大努力减少术后并发症。访查8-10个月,从手术时间、术后愈合时间、Burwell—harnley评价、Mazur评价、术后并发症等方面进行统计学分析,探讨经皮锁定钛板在pilon骨折治疗中的明确优势,为微创经皮锁定钛板治疗Pilon骨折提供可靠的临床依据。结果:统计学分析显示,A组在手术时间、Burwell—harnley评价、1979年Mazur评价、术后并发症发生率等方面明显优于B组。结论:在解决软组织问题后,选择适当的手术时机,使用经皮锁定钛板内固定,对于Ruedi-AllogwerⅡ、Ⅲ型pilon骨折的治疗不失为目前临床行之有效的治疗方法之一。更多还原

【Abstract】 Objective: To compare the clinical efficacy of percutaneous titanium plate fixation(MIPPO)and anatomic plate fixation in the treatment of Pilon fractures,and to provide a clinical basis for its treatment.Methods: The data of 40 patients with Pilon fracture who were treated in the orthopedics ward of the First Affiliated Hospital of Shandong University of Traditional Chinese Medicine from December 2015 to December2017 were collected and divided into A(treatment group),B(control group)Two groups.Group A was percutaneous locking titanium plate fixation(MIPPO)group,Group B was anatomic plate fixation group,the number of cases were20 cases.Two groups of patients before and after taking Taohongsiwutang addition and subtraction,to promote blood circulation,remove swelling effect,the process of surgery according to the patient’s own situation to develop specific programs,make every effort to reduce postoperative complications.The follow-up of 8 months to 1 year,an average of 10 months.From the operation time,postoperative healing time,Burwell-harnley evaluation,Tornetta evaluation,postoperative complications and other aspects of statisticalanalysis to explore the advantages of percutaneous locking titanium plate for the percutaneous locking titanium plate provides the clinical basis for the treatment of Pilon fractures.Results: Statistical analysis showed that group A was superior to group B in terms of operation time,postoperative healing time,Burwell-harnley evaluation,Tornetta evaluation and postoperative complication rate.Conclusion: After the soft tissue problem is solved,the proper operation timing and the percutaneous locking titanium plate fixation are one of the clinically effective treatments for the Ruedi-Allogwer Ⅱ and Ⅲ pilon fractures.更多还原