The efficacy of anteromedial combined with posterolateral approach in the treatment of AO-C3 pilon fractures
Objective To explore the early clinical effect of anterior medial combined with posterior lateral in the treatment of AO-C3 Pilon fracture.Methods The patients with tibial fracture were included in the study and data were retrospectively analyzed,and total of 50 patients with AO-C3 type Pilon fracture were divided into 26 cases in the anterolateral combined posterior medial ap-proach group and 24 cases in the anteromedial combined posterior lateral.Two groups of patients were compared in terms of gender,length of hospitalization,age,duration of surgery,intraoperative blood loss,timing of functional exercise,pain visual analog scale score,Burwell-Shanley radiology fracture redundancy quality assessment,American ankle function score system and surgical complications.Results The operation time of the anterolateral combined posterior medial approach group was(142.77±14.26)min,higher than that of the anterior medial combined posterior lateral approach group(111.83±8.87)min(P＜0.05).The average intraoperative bleeding volume of the anterolateral combined posterior medial approach group was(300.92±30.03)mL and the average hospitalization time was(13.23±2.5)day,higher than those of the anterior medial access group(197.29±16.23)mL and(9.79±1.74)day(P＜0.05).The ankle joint function score of patients treated by anterolateral combined posterior medial approach was lower than that of pa-tients treated by anterolateral combined posterior lateral approach at the first month and 6th months after operation(P＜0.05).The frac-ture healing time of patients in the anterior medial combined posterior lateral approach group was better than that of patients treated by anterolateral combined posterior medial approach group,and the anterior medial combined posterior lateral approach was better than that of patients treated by anterolateral combined posterior medial approach group in terms of the timing of the functional exercise(P＜0.05).Conclusion Inthe choice of surgical access for the treatment of AO-C3 pilon fractures,the anterolateral combined posterior-lateral approach is superior to the anterolateral combined anteromedial approach in terms of perioperative hemorrhage,postoperative com-plications,timing of functional exercises and ankle joint function.
万方数据
维普
