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目的探讨手法复位J形夹板外固定,经皮撬拨复位内固定或有限切开复位内固定等不同组合方法配合中药内服、功能锻炼等三种类型Pilon骨折的临床疗效。方法治疗组采用手法复位J型夹板外固定、经皮撬拨复位内固定加J形夹板外固定,结合中药、功能锻炼等进行综合治疗97例,以本院手术切开复位内固定97例病人作为对照组,观察2组临床疗效。结果治疗组优良率明显高于对照组(P<0.05)。结论对Pilon骨折的治疗,此组中西医结合方法疗效优于手术切开复位内固定,有临床推广价值。
Objective To explore the clinical effects of manual reduction, J-splint external fixation, percutaneous poking, internal fixation or limited open reduction and internal fixation in combination with traditional Chinese medicine oral administration and functional exercise. Methods The treatment group was treated with external fixation of J-splint, percutaneous poking reduction and internal fixation with J-shaped splint, combined with traditional Chinese medicine and functional exercise, 97 cases were treated by open reduction and internal fixation in our hospital As a control group, two groups were observed. Results The excellent and good rate of the treatment group was significantly higher than that of the control group (P <0.05). Conclusion For the treatment of Pilon fracture, the combination of traditional Chinese and western medicine in this group is superior to surgical open reduction and internal fixation and has clinical value of popularization.