Clinical effects of delayed operation and non-delayed operation on Pilon fracture
Liu Haiming
Zhang Yanzhou
Hu Jian
Liu Zheng
Yan Yijun
Qiu Longxiang
Wang Genlin
Abstract：Objective To analyze the clinical effects of delayed operation and non-delayed operation on Pilon fracture.Methods Totally 45 cases of Pilon fracture(Rüedi-Allg(o)wer Ⅱ,Ⅲ) from March 2005 to March 2015 in Kunshan Fourth People's Hospital and the First Affiliated Hospital of Soochow University were enrolled.According to the time of operation,all patients were divided into delayed operation group (25 cases) and non-delayed operation group(20 cases).The delayed operation group was treated with early physical therapy,the operation was performed when skin creases appeared after 7-16 days of wound healing.The non-delayed operation group was treated with emergency debridement.Bone union time,clinical efficacy and complications were analyzed.Results The bone union time in delayed operation group was significantly shorter than that in non-delayed operation group [(17 ± 3) weeks vs (22 ± 4) weeks] (P ＜ 0.05).The excellent rate of ankle joint symptom and function score system in delayed operation group was significantly higher than that in non-delayed operation group[92.0％ (23/25) vs 60.0％ (12/20)] (P ＜ 0.05).No complication was observed in delayed operation group,non-delayed operation group had 2 cases of skin infection;the complication incidence in delayed operation group was significantly lower than that in non-delayed operation group[0.0％ (0/25) vs 10.0％ (2/20)](P ＜ 0.05).Conclusion Delayed operation treating Pilon fracture is effective than non-delayed operation.
Keywords：Pilon fractureFracture fixationinternalDelayed operation
Publication Date：2016-01-01
Online Publishing Date：2026-09-14(First online date of this platform, not the publication date of the document)
Pages：5( 1815-1819 )