Clinical Studies On The Timing Of The Surgical Treatment Of Closed Pilon Fracture

Purpose: Retrospective analysis of the timing of surgical treatment for closed type Plion fractures,Emergency surgery(6 hours within the fracture)and delayed surgery(7 to 14 days within the fracture)which is more ideal timing.In order to obtain a more optimized treatment plan,reduce the risk of surgical complications,get the ideal recovery of the ankle function,and provide the data reference for theoretical accumulation and clinical application.Method: 36 patients with closed Pilon Fractures which met the inclusion criteria are divided into emergency surgery group and elective surgery group that are selected from the resident patients in the Affiliated Hospital to Changchun University of Chinese Medicine during January 2010 to May 2015.Through the comparative analysis of different treatment timing in patients with intraoperative bleeding,the time management of reducing swelling,the incidence of complications and the functional recovery of ankle joint.fracture reduction and ankle joint function recovery degree.To compare the excellent degree of the two types of surgery,so as to obtain the ideal operation opportunity.Result: The comparison showed that the amount of bleeding during the surgery and the time management of reducing swelling on soft issue in the emergency operation group were more than those in the delayed operation group,there was a significant difference of P<0.05 and a statistically significant difference.However,comparing the two groups with reference to the degree of reduction of fracture,There was no difference and significant in the time of bone healing between the two groups of P>0.05.Compared two groups of intraoperative fractures and ankle level functional recovery found that delayed surgery group after healing fractures ankle level and the degree of functional recovery were better than emergency surgery group.The postoperative complications of the two groups were statistically analyzed.There were 4 patients in the emergency group and 2 cases in the delayed group.Conclusion: The experimental results show that the 6 hours after fracture surgery treatment program will increase the degree of soft tissue damage,so that increased blood loss and make soft tissue recovery process slower.In the surgical treatment of the fracture had happened for 7 to 14 days make the soft tissue get a good recovery,reduce the risk of superficial infection and incision delayed healing,which is conducive to the restoration offracture and functional recovery of the ankle joint.The results showed that the effect of delayed surgery of the fracture had happened 7 to 14 days was better than that the emergency operation of the fracture had happened 6 hours,and the delayed surgery was superior.