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1、切开复位内固定治疗Pilon骨折疗效的影响因素分析［摘要］目的探讨影响切开复位内固定治疗Pilon骨折复位和功能恢复的相关因素。方法84例卩ilon骨折患者均采用切开复位内固定治疗，随访结束评价骨折复位和功能恢复，采用单因素和多因素Logistic分析疗效影响因索。结果84例患者骨折全部愈合，中位时间5.0个月，并发症发生率、骨折复位率、功能恢复率分别为28.57%、84.52%.77.38%,骨折复位与功能恢复呈正相关(P<0.05)o年龄、合并腓骨骨折仅对功能恢复影响显著，开放性骨折仅对骨折复位影响显著(P<0.05),骨
2、折类型及并发创伤性关节炎对骨折复位、功能恢复均有显著影响(P<0.05)o结论切开复位内固定治疗Pilon骨折的骨折复位效果与软组织损伤程度、骨折类型及并发创伤性关节炎筹因素有关，功能恢复与年龄、合并腓骨骨折、骨折类型及并发创伤性关节炎等因索有关。［关键词］胫骨骨折；内固定器；P订on骨折；骨折复位；功能恢复；影响因索［中图分类号］R687.3［文献标识码］B［文章编号］1673-9701(2013)32-0053-03Analysisofinfluencingfactorsofcurativeeffectofopenredu
3、ctionandinternalfixationforPilonfracturesZHANGYipinglTANYingwei21.DepartmentofOrthopedics,Pan,anCountyPeople"sHospitalinZhejiangProvince,Pan'an322302,China；2.DepartmentofOrthopedics,theThirdMilitaryMedicalUniversityXinqiaoHospital,Chongqing400037,China[Abstract]Obje
4、ctiveToinvestigatetheinfluencingfactorsofopenreductionandinternalfixationforPilonfracturereductionandfunctionalrecovery.Methods84casesofPilonfracturepatientsweretreatedwithopenreductionandinternalfixation,followedtheendoftheevaluationoffracturereductionandfunctional
5、recovery,usedunivariateandmultivariateLogisticanalysisofefficacyfactors・Results84caseswithfractureshealed,withamediantimeof5.0months,theincidenceofcoinplications,fracturereductionrate,functionalrecoveryratewere28.57%,84.52%,77.38%,fracturereductionwerepositivelycorr
6、elatedwithfunctionalrecovery(P<0.05).Age,combinedfibulafracturefunctionalrecoveryonlysignificanteffectsonlyopenfracturessignificantlyaffected(P<0.05),fracturetypeandconcurrencytraumaticarthritisonfractures,functionalrecoveryweresignificantlyaffected(P<0.05).Conclusi
7、onOpenreductionandinternalfixationoffractureseffectPiIonfracturesandsofttissueinjury,fracturetypeandconcurrencytraumaticarthritisandotherfactorsrelatedtofunctionalrecoverywithage,fibularfracture,fracturetypeandconcurrencytraumaticarthritisandotherfactors.[Keywords]T
8、ibialfractures；Fixation；Pilonfractures；Fracturereduction；Functionalrecovery；InfluencingfactorsPilon骨折是指累及负重关节面的胫骨远端骨折，常由高能量损伤造成的累及负重关节面的胫骨
