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首页> 外文期刊>Medical science monitor : >External Fixation combined with Limited Internal Fixation versus Open Reduction Internal Fixation for Treating Ruedi-Allgower Type III Pilon Fractures
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External Fixation combined with Limited Internal Fixation versus Open Reduction Internal Fixation for Treating Ruedi-Allgower Type III Pilon Fractures

机译：外固定结合有限内固定与开放复位内固定治疗Ruedi-Allgower III型Pilon骨折

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BACKGROUND The optimal treatment of type III pilon fractures remains controversial. Hence, we performed this study to investigate whether open reduction and internal fixation (ORIF) is superior to external fixations combined with limited internal fixations (EFLIF). MATERIAL AND METHODS From January 2012 to October 2013, a total of 78 patients were included. Twenty-six patients underwent EFLIF and 52 patients underwent ORIF. All subjects were followed up at 1, 3, 6, and 12 months postoperatively. All outcomes and complications were recorded. RESULTS No statistical differences were observed in Mazur score or ROM between the 2 groups. There were significant differences between the 2 groups in hospital stay ([i]P[/i]<0.001), reduction results ([i]P[/i]=0.019), screw loosening ([i]P[/i]=0.025), and traumatic arthritis ([i]P[/i]=0.037). CONCLUSIONS Similar functional outcomes were achieved in EFLIF and ORIF groups. Due to several limitations of this study, a well-designed randomized controlled trial involving more patients and long-term follow-up is needed to find an optimal treatment protocol.
机译：背景技术III型皮隆骨折的最佳治疗方法仍存在争议。因此，我们进行了这项研究，以研究开放复位和内固定（ORIF）是否优于外固定结合有限内固定（EFLIF）。材料与方法从2012年1月至2013年10月，共纳入78例患者。 26例患者接受了EFLIF，52例患者接受了ORIF。术后1、3、6和12个月对所有受试者进行随访。记录所有结局和并发症。结果两组之间的Mazur评分或ROM没有统计学差异。两组的住院时间（[i] P [/ i] <0.001），复位结果（[i] P [/ i] = 0.019），螺钉松动（[i] P [/ i]）之间存在显着差异。 = 0.025）和创伤性关节炎（[i] P [/ i] = 0.037）。结论在EFLIF和ORIF组中获得了相似的功能结果。由于这项研究的一些局限性，需要一个设计良好的随机对照试验，涉及更多的患者并进行长期随访，以找到最佳治疗方案。

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