切开复位内固定治疗Pilon骨折预后影响因素分析

摘要

目的：探讨切开复位内固定治疗 Pilon 骨折临床疗效影响因素。方法对60例切开复位内固定治疗Pilon 骨折患者的临床资料进行回顾性分析，并对影响手术疗效的相关因素进行分析。结果合并深部感染和创伤性关节炎的患者骨折分型越高、骨折复位情况越差，预后越差（P ＜0.01）。结论影响切开复位内固定治疗 Pilon 骨折预后的影响因素包括骨折分型、骨折复位、合并深部感染和创伤性关节炎。%Objective To discuss influencing factors of prognosis clinical efficacy of open reduction and internal fixation for Pilon frecture. Methods Clinical data of 60 cases with open reduction and internal fixation for Pilon frecture were retrospectively analyzed. Influencing factors of clinical efficacy were analyzed. Results Cases with higher frecture classification, worse reduction of fracture, complicated with deep fungal infection and traumatic arthritis showed worse clinical efficacy(P < 0.01). Conclusion Frecture classification,reduction of fracture, complicated with deep fungal infection and traumatic arthritis are influencing factors of clinical efficacy of open reduction and internal fixation for Pilon frecture.