Clinical effect of phase Ⅰ closed reduction and external fixation sequential phase Ⅱ internal fixation in the treatment of C3 Pilon fracture
YIN Ruofeng DING Ya’nan TIAN Congbin WANG Hui ZHANG Guoping▲#br#
Ward Two, Department of Orthopedics, 904th Hospital of Chinese PLA Joint Logistic Support Force, Changzhou Medical District, Jiangsu Province, Changzhou 213000, China
Abstract：Objective To explore the clinical effect of phase Ⅰ closed reduction and external fixation sequential phase Ⅱ internal fixation in the treatment of C3 Pilon fracture. Methods According to the random number table, 82 patients with C3 Pilon fracture of 904th Hospital of Chinese PLA Joint Logistics Support Force from January 2019 to June 2021 were selected and divided into control group (conventional incision reduction internal fixation) and observation group (phase Ⅰclosed reduction and external fixation sequential internal fixation), with 41 cases in each group. The perioperative indexes and therapeutic effects of the two groups were compared. Ankle function, visual analog scale (VAS), and quality of life questionnaire score were compared between the two groups before and three months after operation. The complications of the two groups were recorded. Results The amount of intraoperative blood loss in the observation group was lower than that in the control group, the fracture healing time was shorter than that in the control group, and the treatment effect was better than that in the control group (P ＜ 0.05). Three months after operation, ankle function and quality of life questionnaire scores in both groups were higher than those before operation, and the observation group was higher than the control group (P ＜ 0.05). Three months after operation, VAS scores in both groups were lower than those before operation, and the observation group was lower than the control group (P ＜ 0.05). There was no significant difference in the total incidence of complications between the two groups (P ＞ 0.05). Conclusion Phase Ⅰ closed reduction and external fixation sequential phase Ⅱ internal fixation in the treatment of C3 Pilon fracture can reduce intraoperative blood loss, fracture healing time, improve ankle joint function, and improve the quality of life of patients, with high safety and worthy of clinical promotion.
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