Pilon骨折术后创伤性关节炎发生的危险因素分析  

Analysis of Risk Factors of Traumatic Arthritis after Pilon Fracture

作　　者：管美萍 沈逸文 吕姣姣 胡烨红 张宇轩 Guan Meiping;Shen Yiwen;Lyu Jiaojiao;Hu Yehong;Zhang Yuxuan(Department of Foot and Ankle Surgery,Wuxi Ninth People's Hospital,Wuxi 214000,Jiangsu Province,China)

机构地区：[1]无锡市第九人民医院足踝外科,江苏无锡214000

出　　处：《中外医药研究》2023年第32期33-35,共3页JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH

基　　金：2023年无锡市科协软科学研究C类课题(编号:KX-23-C110)。

摘　　要：目的:分析Pilon骨折患者发生术后创伤性关节炎的危险因素。方法:选取2020年2月—2022年12月于无锡市第九人民医院采用手术治疗的Pilon骨折患者100例为研究对象,依据术后创伤性关节炎发生情况分为病例组(20例)、对照组(80例)。通过单因素、多因素Logistic回归分析术后创伤性关节炎发生的影响因素。结果:100例患者中,20例患者发生术后创伤性关节炎,发生率为20.00%。两组年龄、受伤至手术时间、致伤原因、关节内部损伤、踝关节损伤、软组织损伤、钢板类型等因素比较,差异无统计学意义(P>0.05);两组骨折分型、骨质疏松、术后康复锻炼、关节功能因素比较,差异有统计学意义(P<0.05)。多因素Logistic回归分析显示,骨折分型、骨质疏松、术后康复训练、关节功能是术后创伤性关节炎发生的危险因素,差异有统计学意义(P<0.05)。结论:Pilon骨折术后创伤性关节炎发生率较高,骨折分型、骨质疏松、术后康复训练、关节功能是其发生的独立危险因素。Objective:To analyze the risk factors of postoperative traumatic arthritis in patients with Pilon fracture.Methods:A total of one hundred patients with Pilon fracture who were surgically treated in Wuxi Ninth People's Hospital from February 2020 to December 2022 were selected as the study objects,and were divided into case group(20 cases)and control group(80 cases)according to the occurrence of postoperative traumatic arthritis.The factors influencing the occurrence of postoperative traumatic arthritis were analyzed by univariate and multivariate Logistic regression.Results:Among the 100 patients,20 patients developed postoperative traumatic arthritis(20.00%).There was no significant difference in age,time from injury to operation,cause of injury,internal joint injury,ankle joint injury,soft tissue injury and plate type between the two groups(P>0.05);there were significant differences in fracture classification,osteoporosis,postoperative rehabilitation exercise and joint function between the two groups(P<0.05).Multivariate Logistic regression analysis showed that fracture type,osteoporosis,postoperative rehabilitation training and joint function were the risk factors for postoperative traumatic arthritis,and the difference was statistically significant(P<0.05).Conclusion:The incidence of traumatic arthritis after Pilon fracture is high.Fracture type,osteoporosis,postoperative rehabilitation training and joint function are independent risk factors.

关 键 词：PILON骨折 术后 创伤性关节炎 危险因素 

分 类 号：R68[医药卫生—骨科学]