In Step-by-step Extension Of Orif (open Reduction Internal Fixation) Treatment Of Tibial Pilon Fractures

Objective: Pilon fracture of tibial is intraarticularfracture. Difficulty of treating is complication and fixation. It involvea significant portion of weight bearing articular surface and overlyingmetaphysic are notoriously difficult to treat. They ocular when the talusis driven up into the tibial articular surface. In on clinical processesquite thornily, the illness complicationmany, sick and disabled rate ishigh, is one of richest challengeorthopedics difficult problems. Thesituation choice suitable surgery opportunity the soft tissuedamageswhich after the wound is treats the shinbone Pilon fracture the key.Chinese medicine can decrease swelling to relieve pain in the bonefracture earlier period, prevent and cure compartment syndrome, in themedium-term and terminal can promote the bone fracture concrescence.Method: This text established clinic observational tables for 40cases of open tibial and fibular fracture. All case were divided intocure group and control group (each group had 20 cases)at random. In thetreatment group patients the open bone fracture is beinginjured the latter8 hours strong urges to defecate sickness lineclear to create simply isfixed, After operation raises the trouble extremity, theanti-inflammation lessens the swollen area the just right for theillnesstreatment, swelling abates the latter 7-24 day line ofincisionreplacement to plant in the bone the fixed technique.Closure type fracture cuts the fixed replacement inner skill apart rowafter wound last 7-12 days soft tissue swelling disappears. The 8 hoursof inner acute disease opening to the outside world in contrasting thepatient of group after nature fracture being wounded does the clear woundcut the fixed replacement inner skill apart. Closure type fracture is inwound last row of 2-7 days operation incisions replacement fixed. Be inprogress respectively to condition such as recovery and fracture coalescence curing front and back patient pain, swelling, functionobserving a precis writer.Result: the cure rate of cure group is 95%, which of control groupis 85%. Through statistic disposal, the total efficiency rate'scomparison of two groups is P＞0.05, and nosignificant difference. The cure rate's comparison of two groups is X~2=4.072, P=0.041＜0.05, so which expresses that the curative effect of curegroup is better than that of control group after 3 months. The points'scomparision of pain,tumidness, callus growth before and after the cure significantdifference, which expresses that the curative effect of cure group isbetter than that of control group.Conclusion:ORIF was an effective treatment of high-energy tibialpilon fracture. It can the occurrence improving the cure rate, reducingcomplication having effect.