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| Comparison of the Short-term and Long-term Effects of three Surgical methods in treating Type II and III High-energy Tibial Pilon Fractures |
| CHEN Jianrong |
| The Integrated Traditional Chinese and Western Medicine Hospital, Liangshan Yi Autonomous Prefecture, Sichuan Liangshan 615000, China |
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Abstract Objective: To compare the short-term and long-term effects of three surgical Methods in treating type II and III high-energy tibial pilon fractures. Methods: 103 patients with type II and III high-energy tibial pilon fractures treated in our hospital between March 2010 to March 2014 were selected as study subjects, and according to different surgical Methods , they were divided into group A (one-stage open reduction and internal fixation), group B (limited internal fixation and external fixation) and group C (stepwise delayed surgery). All patients were followed up for 12 ~ 30 months with an average of 18 months. The short-term and long-term effects were compared between groups. Results: The operation time, intraoperative blood loss, fracture healing time and incidence of postoperative complications in group C were significantly less and lower than those in group A and group B (P <|0.05)|The excellent and good rate of ankle functional recovery, scores of overall health, pain, vitality, physical function and physical role in group C were significantly higher than those in group B (P <|0.05), and those in group A were significantly higher than those in group B at the end of follow-up (P <|0.05). Conclusion: Compared with one-stage open reduction and internal fixation, limited internal fixation and external fixation, the effect of stepwise delayed surgery is the best which can significantly reduce the incidence of complications, promote the recovery of ankle joint function, improve the quality of life of patients, and can be used as the preferred surgery for treating type II and III high-energy tibial pilon fractures.
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2017, Vol. 23 
