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1、UrgeryHigh-energyPilonFractureClinicalResearchSpeciality:OrthopaedicsofTCMAuthor:WangYunlongTutor:Prof.ZhangJunzhongAbstractObjective:tostudythedelaysurgerybyhigh-energyPilonfractureofthefeasibilityandclinicaleffect.Methods:retrospectiveanalysismethod
2、,inourhospitalinMarch2009toAugust2011havefollow-uprecordof46patientswithhighenergyPilonfracturepatients,accordingtotheinjurytosurgeryafterthetimeandtreatmentmeasuresaredividedintodifferentsteplikelydelay(hereinafterreferredtoasthegroupA)andearlyintern
3、alfixation(orifgroup(hereinafterreferredtoasthegroupB),amongthem,Agroupof26patientsfirstfirststepafteradmission,namelymathighlimbparalleltractionwithbone,thenpullingstatusactivefunctionalexercisedescending,andusemannitol,betasevenYeZaoglucosidesodiump
4、romoteswelling,waitforlocalblistershealedorswellingbasicrecededfollowedthesecondstep,namelythesurgery,andtheBgroupof20cases,8hoursafterinjuryemergencygotosurgery.Patientswerefollowedupfor10~24months,mean16months.Tocomparethetwogroupsofpatients,operati
5、ontime,peri-operativebleeding,fracturerestoration,postoperativecomplications,thesofttissuefracturehealingtimeandpostoperativefunctionrecoveryankleandstatisticalanalysis.Results:inthefracturerestoration,thehealingtime,nodifferencebetweenthetwogroups;Ag
6、roupofoperationtime,peri-operativebleedingandpostoperativecomplicationsofsofttissuewassignificantlylowerthantheBgroup;GroupAfunctionrecoveryanklewasgoodingroupB.Conclusion:thecorrectchoiceofopenreductionandinternalfixationoperationtime,thetreatmentoff
7、racturesofhigh-energyPiloniscritical,theoperationtimetochoosethecorrect,caneffectivelydecreasecomplications,theearlyevenin8hoursemergencywithingotosurgery,therearestillveryhighrisk,andusestep-by-stepdelaysurgeryisakindofeffectiveandrelativelysafeandfe
8、asiblemethod.Keywordsprocessextension,High-energyinjuries;Pilonfracture;Openreductionandinternalfixation;Softtissuecomplications目录引言............................................................................................................