Comparison of clinical effect between bridge locking anatomical plate with supported plate based four column in type Ⅲ Rüedi-Allgower Pilon fracture

doi:10.16098/j.issn.0529-1356.2019.04.016

Abstract

Abstract:

Objective To explore the clinical effect between bridge locking anatomical plate with supported plate based four column in type Ⅲ Rüedi-Allgower Pilon fracture.Methods Retrospective study was performed on the clinical data of type Ⅲ Rüedi-Allgower Pilon fracture undergoing surgery. Patients were divided into two groups according to internal fixation. Some parameters including operation time, blood loss, and drainage, healing time, full burden time, functional score and pain score were analyzed. Results There was no significant difference between the operation time, blood loss and drainage between the two groups（t=0.37, P>0.05；t=0.71,P>0.05；t=0.24, P>0.05). The healing time and full burden time of experimental group was lower than control group significantly (t=1.56,P＜0.05；t=2.43, P＜0.05). For American Orthopaedic Food and Ankle Society(AOFAS) score and visual analogue score(VAS) in postoperative 1 month, there was no significant difference between the two groups. For AOFAS score and VAS score in experimental group was lower than control group after 3 months (P＜0.05). There was no significant difference between two groups in reduction quality Burwell-Charnley score and complication between two groups. Conclusion Supported plate based four column could improve the life quality of patietns with Pilon fracture, which is worth to recommed in clinical application.

Key words: Four column theary, Pilon fracture, Plate internal fixation, Anatomy, Human

LIU Guo-xiong MA Han-fei XIAO Liu-bin LAI Jun-cheng LIU Lan. Comparison of clinical effect between bridge locking anatomical plate with supported plate based four column in type Ⅲ Rüedi-Allgower Pilon fracture[J]. Acta Anatomica Sinica, 2019, 50(4): 501-505.

References

［1］ Lu H, Xu HL, Jiang BG, et al. Two posteromedial approaches in treatment of posterior pilon fractures of Klammer type Ⅲ［J］. Chinese Journal of Orthopaedic Trauma, 2017,19(12):1052-1055.（in Chinese）

芦浩，徐海林，姜保国，等. 不同方式后内侧人路治疗Klammer Ⅲ型后pilon骨折的疗效［J］. 中华创伤骨科杂志,2017,19(12):1052-1055.

［2］ Gao YJ, Zhang Y, Zheng J, et al. Diagnosis and treatment of anterior pilon fracture ［J］. Chinese Journal of Trauma, 2016,32(5):423-426.（in Chinese）

高彦军，张勇，郑杰，等. 前侧pilon骨折的诊断和治疗［J］. 中华创伤杂志,2016,32(5):423-426.

［3］ Kong XR, Zhu YCh, Yang TM, et al. Buttress plate fixation alone or combined with hollow screws for treatment of posterior tibial pilon fractures ［J］. Chinese Journal of Trauma, 2017,33(2):164-170.（in Chinese）

孔祥如，朱裕成，杨太明，等. 支撑钢板或结合空心螺钉治疗胫骨后pilon骨折［J］. 中华创伤杂志,2017,33(2):164-170.

［4］ Wang X, Geng X, Zhang Ch, et al. Treatment of posterior pilon fractures according to classification of die-punch fragments by CT scanning ［J］. Chinese Journal of Orthopaedic Trauma, 2018,20(6):470-475.（in Chinese）

王旭，耿翔，张超，等. 后pilon骨折Die-punch骨块的CT分型及应用［J］. 中华创伤骨科杂志,2018,20(6):470-475.

［5］ Misir A, Kizkapan TB, Yildiz KI, et al. Traction radiographs versus CT in the evaluation of fracture morphology and consecutive treatment decisions in OTA/AO 43C3 fractures［J］. Injury,2019,50(2):332-336.

［6］ Sobol GL, Shaath MK, Reilly MC, et al. The incidence of posterior malleolar involvement in distal spiral tibia fractures: is it higher than we think［J］? J Orthop Trauma,2018,32(11):543-547.

［7］ Wang Zh, Li ShL, Tang X, et al. The clinical efficacy and prognostic evaluation of locking compression plate in the treatment of Pilon medial column fracture based on four-column theory ［J］. Journal of Practical Orthopaedics, 2016,22(11):976-979.（in Chinese）

王喆，李盛龙，汤欣. 基于四柱理论指导治疗Pilon内侧柱骨折的疗效及预后评价［J］. 实用骨科杂志,2016,22(11):976-979.

［8］ Mcandrew CM, Ricci WM, Miller AN, et al. ORIF Pilon via posteromedial and anterolateral approaches［J］. J Orthop Trauma,2018, 32 Suppl 1:S36-S37.

［9］ Dong YL, Qian YN, Huang XX, et al. Biomechanical consequences of different step-off displacement and degree of acetabular fractures ［J］. Acta Anatomica Sinica, 2015,46(6):802-806.（in Chinese）

董伊隆, 钱约男, 黄祥祥. 髋臼骨折不同台阶移位及程度对髋关节接触特性的影响［J］. 解剖学报, 2015,46(6):802-806.

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