Analysis of the effect of percutaneous plate osteosynthesis in the treatment of Pilon type Ⅲ fracture / 中国基层医药

ABSTRACT

Objective To explore the effect of minimally invasive percutaneous plate osteosynthesis (MIPPO) operation in the treatment of Pilon type Ⅲ fractures.Methods 54 patients were randomly divided into 2 groups by visiting sequence with random number,odd into the observation group,even into the control group.The observation group(28 cases) received MIPPO operation treatment,the control group(26 cases) was treated with fixed operation.The efficacy was compared between the two groups.Results The excellent and good rate was 85.7％ in the observation group,which was 76.9％ in the control group,there was significant difference between the two groups (Ridit z =12.658,P =0.000).In the observation group,the callus time was (8.1 ± 1.6) w,fracture healing time was (6.5 ± 1.2) m,no refracture occurred; in control group,the callus time was (9.4 ± 2.1) w,the fracture healing time was (7.1 ± 1.1)m,1 case occurred refracture,the differences of callus and bone healing time between the two groups were statistically significant (t =7.865,8.632,all P ＜ 0.05).Conclusion MIPPO operation in the treatment of Pilon type Ⅲ fracture has good effect,MIPPO can be used and promoted in the Pilon type Ⅲ fracture.