Analysis of incidence and related factors of postoperative complications of Pilon fracture

QIAN Jinfeng; HUANG Wei; ZENG Zhongyou

doi:10.16766/j.cnki.issn.1674-4152.002897

Volume 21 Issue 3

Mar. 2023

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Article Navigation > Chinese Journal of General Practice > 2023 > 21(3): 417-419

QIAN Jinfeng, HUANG Wei, ZENG Zhongyou. Analysis of incidence and related factors of postoperative complications of Pilon fracture[J]. Chinese Journal of General Practice, 2023, 21(3): 417-419. doi: 10.16766/j.cnki.issn.1674-4152.002897

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QIAN Jinfeng, HUANG Wei, ZENG Zhongyou. Analysis of incidence and related factors of postoperative complications of Pilon fracture[J]. Chinese Journal of General Practice, 2023, 21(3): 417-419. doi: 10.16766/j.cnki.issn.1674-4152.002897

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Analysis of incidence and related factors of postoperative complications of Pilon fracture

doi: 10.16766/j.cnki.issn.1674-4152.002897

The Fourth Orthopedic Department of the Marine Police Corps Hospital of the Chinese People's Armed Police Force, Jiaxing, Zhejiang 314000, China

Funds:

2020KY968

2018AD32183

Received Date: 2022-12-07
Available Online: 2023-04-19

Abstract

Abstract

Objective To analyze the incidence and influencing factors of postoperative complications of Pilon fracture, and provide reference basis for clinical prevention and treatment of postoperative complications of Pilon fracture. Methods A total of 126 patients with Pilon fracture who were admitted to the Fourth Department of Osteology of the Marine Police Corps Hospital of the Chinese People ' s Armed Police Force from January 2017 to February 2022 were included in the study. The patients were divided into complication group (38 cases) and non-complication group (88 cases) according to whether there were complications. The relevant data (gender, age, smoking, history of diabetes, history of hypertension, fracture type, fracture classification, combined fibular fracture, fracture reduction effect, bone graft) between the two groups was compared, and then the influencing factors of complications were analyzed by Logistic analysis. Results All patients were followed up for 6 months, 119 cases (94.44%) had good fracture healing, 7 cases (5.56%) had delayed or nonunion fracture healing. Complications occurred in 38 cases (30.16%), which were treated symptomatically and healed after treatment. There was significant difference in fracture type, fracture classification, combined fibular fracture, fracture reduction effect and bone graft between the complication group and the non-complication group (P < 0.05). Multivariate logistic regression analysis results showed that fracture type (closed), fracture classification (type Ⅱ), and fracture reduction effect (good) were protective factors for postoperative complications of Pilon fracture, fibular fracture and bone graft were risk factors for postoperative complications of Pilon fracture. Conclusion The incidence of postoperative complications of Pilon fracture is high. The risk factors of Pilon fracture are fibular fracture and bone graft. Preoperative evaluation should be strictly carried out, and complications should be actively prevented during and after the operation to promote the recovery of patients as soon as possible.
- Pilon fracture,
- Complication,
- Incidence rate,
- Related factors

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References(24)

References

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Analysis of incidence and related factors of postoperative complications of Pilon fracture

doi: 10.16766/j.cnki.issn.1674-4152.002897

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