Guoji laonian yixue zazhi (Nov 2024)
Clinical Efficacy of Anterolateral Approach Combined with Modified Posteromedial Approach in the Treatment of Pilon Fracture in the Elderly
Abstract
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 (P0.05). 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.
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