Comparative study of anatomic locking compression plate and anatomic plate fixation for Pilon fracture

Abstract

Objective To compare the clinical effect of locking compression plate and anatomic plate fixation for Pilon fracture. Methods 68 patients with tibial Pilon fracture were selected and divided into two groups according to the random number table method, 34 cases in each group, the observation group was given lock plus pressure plate fixation while the control group received anatomic plate for treatment, the clinically relevant indicators, treatment effect and occurrence of complications of the two groups were compared. Results The operation time of the observation group[(46.46±3.56)min], incision length[(5.25±0.75)cm], blood loss[(36.77±5.12)mL], plaster braking time[(13.23±1.77)d], fracture healing time[(12.42±1.43)weeks], postoperative hospital stay[(9.89±1.88)d]were less than or shorter than those of the control group[(68.76±4.45)min, (12.78±1.54)cm, (84.75±8.65)mL, (20.30±2.43)d, (18.94±2.30)weeks, (15.67±2.64)d], the differences were statistically significant(t=6.834, 9.455, 7.488, 6.591, 7.033, 8.210, all P<0.05). The excellent rate of the observation group was 94.12%, which was higher than 80.00% of the control group, the difference was statistically significant(χ2=8.238, P<0.05). The postoperative complications occurred in the observation group was 5.88%, which was significantly increased to 17.65% in the control group, the difference was statistically significant(χ2=7.657, P<0.05). Conclusion Compared with anatomical plate fixation, the locking compression fixation for Pilon fractures can shorten the healing time and reduce the incidence of complications, so it is safe and has significant advantages for the clinical application. Key words: Tibial fractures; Fracture fixation, internal; Bone wires