Clinical Efficacy of Anterolateral Approach Combined with Modified Posteromedial Approach in the Treatment of Pilon Fracture in the Elderly
Objective To investigate the clinical effect of anterolateral approach combined with modified posteromedial approach in the treatment of Pilon fracture in the elderly. Methods A total of 130 elderly patients with Pilon fracture admitted to the 904th Hospital of the Joint Logistics Support Force of t...
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Editorial Office of International Journal of Geriatrics
2024-11-01
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| Series: | Guoji laonian yixue zazhi |
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| Online Access: | http://gwll.publish.founderss.cn/thesisDetails#10.3969/j.issn.1674-7593.2024.06.010&lang=en |
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| _version_ | 1846161443575037952 |
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| author | Tang Ke Liu Xiaohui Zhuge Hengyan Liu Changzeng |
| author_facet | Tang Ke Liu Xiaohui Zhuge Hengyan Liu Changzeng |
| author_sort | Tang Ke |
| collection | DOAJ |
| description | Objective To investigate the clinical effect of anterolateral approach combined with modified posteromedial approach in the treatment of Pilon fracture in the elderly. Methods A total of 130 elderly patients with Pilon fracture admitted to the 904th Hospital of the Joint Logistics Support Force of the Chinese People’s Liberation Army from January 2016 to December 2021 were selected by convenience sampling method for retrospective analysis. They were divided into control group and observation group according to the approach treatment, with 65 cases in each group. The control group received anterolateral and the observation group received anterolateral approach combined with modified posteromedial approach. The operation time, full weight-bearing time, fracture healing time, intraoperative blood loss, ankle joint function, anatomical reduction effect and complications within 1 year after operation were recorded in the two groups. Results The operation time, full weight-bearing time and fracture healing time in observation group were shorter than those in control group (P<0.05). There was no significant difference in intraoperative blood loss between the two groups (P>0.05). The effective rate of ankle joint function in observation group was higher than that in control group (P<0.05). The reduction effect in observation group was better than that in control group (P<0.05). The total incidence rate of complications 1 year after operation in observation group was lower than that in control group (P<0.05). Conclusion Anterolateral approach combined with modified posteromedial approach has a good clinical effect in the treatment of Pilon fracture in the elderly. It can shorten the operation time, full weight-bearing time and fracture healing time, improve the effective rate of ankle joint function and anatomical reduction effect, effectively protect the ankle joint soft tissue, and then avoid the exposure of internal fixation and soft tissue necrosis. |
| format | Article |
| id | doaj-art-12a4a67a5c024c29b2bc614d5b1fad50 |
| institution | Kabale University |
| issn | 1674-7593 |
| language | zho |
| publishDate | 2024-11-01 |
| publisher | Editorial Office of International Journal of Geriatrics |
| record_format | Article |
| series | Guoji laonian yixue zazhi |
| spelling | doaj-art-12a4a67a5c024c29b2bc614d5b1fad502024-11-21T07:13:31ZzhoEditorial Office of International Journal of GeriatricsGuoji laonian yixue zazhi1674-75932024-11-0145669870110.3969/j.issn.1674-7593.2024.06.010Clinical Efficacy of Anterolateral Approach Combined with Modified Posteromedial Approach in the Treatment of Pilon Fracture in the ElderlyTang Ke0Liu Xiaohui1Zhuge Hengyan2Liu Changzeng3Department of Orthopedics, the 904th Hospital of the Joint Logistics Support Force of the Chinese People’s Liberation Army, Wuxi 214044Department of Orthopedics, the 904th Hospital of the Joint Logistics Support Force of the Chinese People’s Liberation Army, Wuxi 214044Department of Orthopedics, the 904th Hospital of the Joint Logistics Support Force of the Chinese People’s Liberation Army, Wuxi 214044Department of Orthopedics, the 904th Hospital of the Joint Logistics Support Force of the Chinese People’s Liberation Army, Wuxi 214044Objective To investigate the clinical effect of anterolateral approach combined with modified posteromedial approach in the treatment of Pilon fracture in the elderly. Methods A total of 130 elderly patients with Pilon fracture admitted to the 904th Hospital of the Joint Logistics Support Force of the Chinese People’s Liberation Army from January 2016 to December 2021 were selected by convenience sampling method for retrospective analysis. They were divided into control group and observation group according to the approach treatment, with 65 cases in each group. The control group received anterolateral and the observation group received anterolateral approach combined with modified posteromedial approach. The operation time, full weight-bearing time, fracture healing time, intraoperative blood loss, ankle joint function, anatomical reduction effect and complications within 1 year after operation were recorded in the two groups. Results The operation time, full weight-bearing time and fracture healing time in observation group were shorter than those in control group (P<0.05). There was no significant difference in intraoperative blood loss between the two groups (P>0.05). The effective rate of ankle joint function in observation group was higher than that in control group (P<0.05). The reduction effect in observation group was better than that in control group (P<0.05). The total incidence rate of complications 1 year after operation in observation group was lower than that in control group (P<0.05). Conclusion Anterolateral approach combined with modified posteromedial approach has a good clinical effect in the treatment of Pilon fracture in the elderly. It can shorten the operation time, full weight-bearing time and fracture healing time, improve the effective rate of ankle joint function and anatomical reduction effect, effectively protect the ankle joint soft tissue, and then avoid the exposure of internal fixation and soft tissue necrosis.http://gwll.publish.founderss.cn/thesisDetails#10.3969/j.issn.1674-7593.2024.06.010&lang=enpilon fractureanterolateral approachmedified posteromedial approachclinical effect |
| spellingShingle | Tang Ke Liu Xiaohui Zhuge Hengyan Liu Changzeng Clinical Efficacy of Anterolateral Approach Combined with Modified Posteromedial Approach in the Treatment of Pilon Fracture in the Elderly Guoji laonian yixue zazhi pilon fracture anterolateral approach medified posteromedial approach clinical effect |
| title | Clinical Efficacy of Anterolateral Approach Combined with Modified Posteromedial Approach in the Treatment of Pilon Fracture in the Elderly |
| title_full | Clinical Efficacy of Anterolateral Approach Combined with Modified Posteromedial Approach in the Treatment of Pilon Fracture in the Elderly |
| title_fullStr | Clinical Efficacy of Anterolateral Approach Combined with Modified Posteromedial Approach in the Treatment of Pilon Fracture in the Elderly |
| title_full_unstemmed | Clinical Efficacy of Anterolateral Approach Combined with Modified Posteromedial Approach in the Treatment of Pilon Fracture in the Elderly |
| title_short | Clinical Efficacy of Anterolateral Approach Combined with Modified Posteromedial Approach in the Treatment of Pilon Fracture in the Elderly |
| title_sort | clinical efficacy of anterolateral approach combined with modified posteromedial approach in the treatment of pilon fracture in the elderly |
| topic | pilon fracture anterolateral approach medified posteromedial approach clinical effect |
| url | http://gwll.publish.founderss.cn/thesisDetails#10.3969/j.issn.1674-7593.2024.06.010&lang=en |
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