数字骨科技术辅助治疗胫骨Pilon骨折的临床应用  

Clinical application of digital orthopedics technique for the treatment of tibial pilon fractures

作　　者：陈辉强[1] 章莹[1] 夏虹[1] 符史发[1] 王非[1] 肖进[1] 

机构地区：[1]广州军区广州总医院骨科医院,广州510010

出　　处：《中国矫形外科杂志》2013年第20期2030-2034,共5页Orthopedic Journal of China

摘　　要：[目的]研究数字骨科技术辅助治疗对Pilon骨折疗效的影响。[方法]40例患者,随机数字表法分为A、B两组。A组开放复位内固定前应用数字骨科技术进行建模、模拟手术,B组患者单纯开放复位内固定。记录两组患者手术时间、出血量、切口长度、住院时间、骨折愈合时间。同时采用Burwell-Charnley评价标准和Mazur踝关节评价系统评估患者骨折复位情况和踝关节功能。[结果]A组手术时间、出血量小于B组,差异有统计学意义(P<0.05);A组患者解剖复位和得到较好复位的例数多于B组,差异有统计学意义(P<0.05)。A组患者12周踝关节功能评分高于B组,差异有统计学意义(P<0.05)。[结论]采用数字骨科技术辅助治疗Pilon骨折,可以明显缩短手术时间,使骨折得到更好复位,术后患者踝关节功能更佳。[ Objective ] To investigate the therapeutic effects of digital orthopedics technique in tibial pilon fractures. [ Method ] A total of 40 patients with tibial pilon fractures were assigned into group A and group B. Patients in the group A re-ceived open reduction and internal fixation of fracture under the assistance of digital orthopedics technique and those in the group B were only routinely treated with open reduction and internal fixation of fracture. The surgical time,blood loss,length of cut, hospital stay and healing time of patients were compared. At the same time, Burwell-Charnley scoring system was used to e-valuate the degree of fracture reduction and Mazur scoring system was used to evaluate the ankle function of patients. [ Result] The surgical time, blood loss in group A was less than in group B,the difference between the groups was statistically significant （P 〈 0.05）. The degree of fracture reduction and Mazur scoring in group A was more than in group B, the difference between the groups was statistically significant （P 〈0.05 ）. [ Conclusion] The application of digital orthopedic technique can reduce the surgical time of open reduction and internal fixation of pilon fractures. It also can improve the degree of fracture reduction and the ankle function of patients.

关 键 词：数字骨科 PILON骨折 临床应用 

分 类 号：R687.3[医药卫生—骨科学]