[1]丁辉,刘成,邓振华△,等.自制下肢牵引装置对胫骨远端骨折术前状态的影响[J].中国中医骨伤科杂志,2025,33(06):39-43+50.[doi:10.20085/j.cnki.issn1005-0205.250607]
　DING Hui,LIU Cheng,DENG Zhenhua,et al.The Influence of Self-Made Lower Limb Traction Device on Preoperative Pilon Fractures[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2025,33(06):39-43+50.[doi:10.20085/j.cnki.issn1005-0205.250607]
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自制下肢牵引装置对胫骨远端骨折术前状态的影响()

《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第33卷
期数:
2025年06期
页码:
39-43+50
栏目:
临床研究
出版日期:
2025-06-15

文章信息/Info

Title:
The Influence of Self-Made Lower Limb Traction Device on Preoperative Pilon Fractures
文章编号:
1005-0205(2025)06-0039-05
作者:
丁辉1; 刘成1; 邓振华1△; 龙飞宇1; 陈小龙1陈华生1; 唐凤英1; 唐斌1; 徐欢1; 杜蕊伶1
1重庆市潼南区中医院(重庆,402660)
Author(s):
DING Hui1; LIU Cheng1; DENG Zhenhua1△; LONG Feiyu1; CHEN Xiaolong1; CHEN Huasheng1; TANG Fengying1; TANG Bin1; XU Huan1; DU Ruiling1
1Chongqing Tongnan District Hospital of Traditional Chinese Medicine,Chongqing 402660,China.
关键词:
自制下肢牵引装置;  胫骨远端骨折;  术前准备
Keywords:
self-made lower limb traction device;  distal tibia fracture;  preoperative preparation
分类号:
R683.42
DOI:
10.20085/j.cnki.issn1005-0205.250607
文献标志码:
A
摘要:
目的:探讨自制下肢牵引装置对胫骨远端骨折术前状态的影响。方法:收集2022年8月1日至2024年8月1日60例胫骨远端骨折患者资料,分为观察组和对照组,比较两组患者牵引后的消肿、张力性水疱、疼痛评分、术前等待时间、影像指标及围手术期并发症情况。结果:观察组患者肿胀值均小于对照组,消肿速度快于对照组,张力性水疱发生率低于对照组,解剖复位优于对照组,与对照组差异有统计学意义(P<0.05); 但两组患者术前等待时间、疼痛评分、围手术期并发症差异无统计学意义(P>0.05)。结论:自制下肢牵引装置能更快消肿,减少皮肤压疮发生,术前更好地解剖复位。
Abstract:
Objective:To explore the preoperative efficacy of a self-made lower limb traction device for distal tibial fractures.Methods:A total of 60 cases of distal tibial fractures from August 1,2022 to August 1,2024 were collected and divided into observation group and control group.The swelling reduction,tension blisters,pain scores,preoperative waiting time,imaging indicators,and perioperative complications after traction were observed in both groups.Results:The swelling values of the observation group were all lower than those of the control group,and the rate of swelling reduction was faster than that of the control group.The incidence of tension blisters was lower,and better anatomical reduction was achieved.However,there were no significant differences between the two groups in terms of preoperative waiting time,pain score,and perioperative complications.Conclusion:A self-made lower limb traction device can achieve faster swelling reduction,reduce the occurrence of skin pressure sores,and lead to better anatomical reduction before surgery.

参考文献/References:

[1] PENG B,WAN T,TAN W,et al.Novel retrograde tibial intramedullary nailing for distal tibial fractures[J].Front Surg,2022,9:899483.
[2] 辜刘伟,刘冬雪,周霖,等.青少年胫骨远端Salter-Harris Ⅱ型骨骺骨折闭合与切开复位螺钉内固定的疗效分析[J].生物骨科材料与临床研究,2022,19(3):53-57.
[3] LABRUM 4th J T,GALLAGHER B,BOYCE R H.Injury pattern recognition and surgical technique of Pilon fracture reduction with posterior tibial tendon incarceration[J].J Orthop Trauma,2023,37(5):e227-e231.
[4] LIU Y,GUO D,ZHOU X,et al.Effect of infrared irradiation combined with mannitol and kinesiology tape on postoperative swelling and pain in patients with a periarticular ankle fracture[J].Pak J Med Sci,2023,39(1):257-261.
[5] KALINTERAKIS G,KOUTRAS A,SYLLAIOS A,et al.The evolution and impact of the “damage control orthopedics” paradigm in combat surgery:a review[J].Eur J Orthop Surg Traumatol,2019,29(3):501-508.
[6] 傅中来,陈振华.术前跟骨牵引固定对胫腓骨远端骨折患者经皮锁定钢板内固定手术时间及复位质量的影响[J].中外医学研究,2021,19(17):164-167.
[7] 张丽琴.精细化护理对下肢骨折骨牵引患者焦虑抑郁及并发症的影响[J].基层医学论坛,2020,24(21):2999-3000.
[8] 胥少汀,葛宝丰,徐印坎.实用骨科学(上下册)[M].4版.北京:人民军医出版社,2012:39,1052.
[9] 任磊,扈克治,陈惠,等.不同内固定方式在胫骨远端骨折中的疗效比较[J].创伤外科杂志,2023,25(12):909-915.
[10] SILLUZIO N,DE SANTIS V,MARZETTI E,et al.Clinical and radiographic outcomes in patients operated for complex open tibial pilon fractures[J].Injury,2019,50(Suppl 2):S24-S28.
[11] SOOD A,KHAMSI B,DATIASHVILI R,et al.Use of cross-leg flap for wound complications resulting from open Pilon fracture[J].Am J Orthop(Belle Mead NJ),2015,44(3):131-134.
[12] PLANT C E,PARSONS N R,EDWARDS A T,et al.A comparison of electronic and manual dynamometry and goniometry in patients with fracture of the distal radius and healthy participants[J].J Hand Ther,2016,29(1):73-80.
[13] 吴秋敏,廖拥军,朱光光.活血行气利水法联合跟骨牵引在Pilon骨折术前肢体肿痛中的应用效果[J].中国当代医药,2024,31(27):76-79.
[14] SWORDS M P,WEATHERFORD B.High-energy Pilon fractures:role of external fixation in acute and definitive treatment.What are the indications and technique for primary ankle arthrodesis?[J].Foot Ankle Clin,2020,25(4):523-536.
[15] 张立强,郑杨,陈高新,等.简易双边跨关节外固定架对AO43C型Pilon骨折早期固定的疗效[J].浙江医学,2024,46(7):747-751.
[16] 邵朋,高亮,刘娟,等.跟骨牵引与石膏外固定在Denis-Weber C型踝关节骨折术前治疗中应用的效果比较[J].中国骨与关节损伤杂志,2020,35(8):804-807.
[17] KEARNEY R S,MCKEOWN R,GALLACHER D,et al.Ankle injury rehabilitation(AIR):a feasibility randomised controlled trial comparing functional bracing to plaster cast in the treatment of adult ankle fractures[J].Pilot Feasibility Stud,2019,5:55.
[18] FISCHER B,MASON L W.Reconstruction of severe ankle and Pilon fracture malunions[J].Foot Ankle Clin,2020,25(2):221-237.
[19] CHONG H H,HAU M Y T,MISHRA P,et al.Patient outcomes following ankle fracture fixation[J].Foot Ankle Int,2021,42(9):1162-1170.
[20] 郝德慧,高远,孔丹,等.克氏针可调节固定装置于下肢骨牵引中的临床应用[J].实用骨科杂志,2023,29(8):766-768.
[21] 吴成莉,王锐霞.骨外固定患者针道感染危险因素及预防的研究进展[J].中国当代医药,2023,30(27):34-38.

备注/Memo

备注/Memo:
基金项目:重庆市卫生健康委中医药科研项目(2024WSJK199)
△通信作者 E-mail:19823124857@163.com
更新日期/Last Update: 2025-06-15