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| Effect of anterior ankle arc incision combined with MIPO therapy on ankle joint morphology and ankle function after Pilon fracture surgery |
| MA Jia1 MENG Qingfeng1 ZHENG Lianxiang1 XU Yinghui2 |
1.Department of Orthopedics, Fushun Central Hospital, Liaoning Province, Fushun 113006, China;
2.Department of Respiration, Fushun Central Hospital, Liaoning Province, Fushun 113006, China |
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Abstract Objective To investigate the effect of anterior ankle arc incision combined with MIPO on the morphology of ankle point and ankle joint function in patients with Pilon fracture after operation. Methods From July 2014 to July 2017, 60 cases of Pilon fracture patients treated in Fushun Central Hospital were selected as the research objects. The patients were divided into the control group and the observation group using the random number table method, 30 cases in each group. Patients in the observation group were treated with anterior ankle arcuate incision combined with MIPO therapy, while patients in the control group were treated with open internal fixation. The differences of postoperative fracture healing, ankle function recovery, ankle point recovery and complications between the two groups were compared and observed. Results Anatomical reduction rate and excellent and good ankle function rate of the observation group were significantly higher than those of the control group (P ＜ 0.05). Patients in the observation group had poor ankle joint width, poor coronal angle and lower sagittal angle than those in the control group (P ＜ 0.05). The amount of intraoperative blood loss, operation time and postoperative complications in the observation group were less than those in the control group, and the differences were statistically significant (P ＜ 0.05). Conclusion Arcuate incision combined with MIPO technique is effective for the treatment of pilon fracture patients, which can significantly improve the excellent and good operation rate of patients, restore the ankle joint function and ankle point morphology of patients, reduce the peripheral injury, and reduce postoperative complications. Therefore, it is worth popularizing in clinical work.
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