• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利：CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法，用中文像聊天一样搜索，搜遍4000万医学文献。AI智能推荐，让科研检索更轻松。

立即免费搜索

文件翻译

保留排版，准确专业，支持PDF/Word/PPT等文件格式，支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述，25分钟生成高质量综述，智能提取关键信息，辅助科研写作。

立即免费体验

有限内固定联合外固定治疗Pilon骨折的临床疗效与安全性：一项系统评价和Meta分析

Clinical efficacy and safety of limited internal fixation combined with external fixation for Pilon fracture: A systematic review and meta-analysis.

作者信息

Zhang Shao-Bo, Zhang Yi-Bao, Wang Sheng-Hong, Zhang Hua, Liu Peng, Zhang Wei, Ma Jing-Lin, Wang Jing

机构信息

Department of Orthopedics, Key Laboratory of Orthopedics, Second Hospital of Lanzhou University, Lanzhou 730030, China.

Department of Orthopedics, Key Laboratory of Orthopedics, Second Hospital of Lanzhou University, Lanzhou 730030, China.

出版信息

Chin J Traumatol. 2017 Apr;20(2):94-98. doi: 10.1016/j.cjtee.2016.06.012. Epub 2017 Feb 24.

DOI:10.1016/j.cjtee.2016.06.012
PMID:28359592
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5392718/
Abstract

PURPOSE

To compare the clinical efficacy and complications of limited internal fixation combined with external fixation (LIFEF) and open reduction and internal fixation (ORIF) in the treatment of Pilon fracture.

METHODS

We searched databases including Pubmed, Embase, Web of science, Cochrane Library and China Biology Medicine disc for the studies comparing clinical efficacy and complications of LIFEF and ORIF in the treatment of Pilon fracture. The clinical efficacy was evaluated by the rate of nonunion, malunion/delayed union and the excellent/good rate assessed by Mazur ankle score. The complications including infections and arthritis symptoms after surgery were also investigated.

RESULTS

Nine trials including 498 pilon fractures of 494 patients were identified. The meta-analysis found no significant differences in nonunion rate (RR = 1.60, 95% CI: 0.66 to 3.86, p = 0.30), and the excellent/good rate (RR = 0.95, 95% CI: 0.86 to 1.04, p = 0.28) between LIFEF group and ORIF group. For assessment of infections, there were significant differences in the rate of deep infection (RR = 2.18, 95% CI: 1.34 to 3.55, p = 0.002), and the rate of arthritis (RR = 1.26, 95% CI: 1.03 to 1.53, p = 0.02) between LIFEF group and ORIF group.

CONCLUSION

LIFEF has similar effect as ORIF in the treatment of pilon fractures, however, LIFEF group has significantly higher risk of complications than ORIF group does. So LIFEF is not recommended in the treatment of pilon fracture.

摘要

目的

比较有限内固定联合外固定（LIFEF）与切开复位内固定（ORIF）治疗Pilon骨折的临床疗效及并发症。

方法

检索包括Pubmed、Embase、Web of science、Cochrane图书馆和中国生物医学光盘数据库在内的数据库，查找比较LIFEF与ORIF治疗Pilon骨折临床疗效及并发症的研究。临床疗效通过骨不连发生率、畸形愈合/延迟愈合率以及Mazur踝关节评分评估的优良率来评价。同时调查术后包括感染和关节炎症状在内的并发症。

结果

共纳入9项试验，涉及494例患者的498例Pilon骨折。荟萃分析发现，LIFEF组与ORIF组在骨不连发生率（RR = 1.60，95%CI：0.66至3.86，p = 0.30）和优良率（RR = 0.95，95%CI：0.86至1.04，p = 0.28）方面无显著差异。在感染评估方面，LIFEF组与ORIF组在深部感染率（RR = 2.18，95%CI：1.34至3.55，p = 0.002）和关节炎发生率（RR = 1.26，95%CI：1.03至1.53，p = 0.02）方面存在显著差异。

结论

LIFEF在治疗Pilon骨折方面与ORIF效果相似，然而，LIFEF组的并发症风险显著高于ORIF组。因此，不建议采用LIFEF治疗Pilon骨折。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5b63/5392718/57db284552cf/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5b63/5392718/72cac78221fc/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5b63/5392718/dfdac40cb1ad/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5b63/5392718/ab9bde1cb700/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5b63/5392718/8712f5704a6d/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5b63/5392718/57db284552cf/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5b63/5392718/72cac78221fc/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5b63/5392718/dfdac40cb1ad/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5b63/5392718/ab9bde1cb700/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5b63/5392718/8712f5704a6d/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5b63/5392718/57db284552cf/gr5.jpg

相似文献

1
Clinical efficacy and safety of limited internal fixation combined with external fixation for Pilon fracture: A systematic review and meta-analysis.有限内固定联合外固定治疗Pilon骨折的临床疗效与安全性：一项系统评价和Meta分析
Chin J Traumatol. 2017 Apr;20(2):94-98. doi: 10.1016/j.cjtee.2016.06.012. Epub 2017 Feb 24.
2
Two-stage open reduction and internal fixation versus limited internal fixation combined with external fixation: a meta-analysis of postoperative complications in patients with severe Pilon fractures.两阶段切开复位内固定术与有限内固定联合外固定术治疗严重Pilon骨折患者术后并发症的Meta分析
J Int Med Res. 2018 Jul;46(7):2525-2536. doi: 10.1177/0300060518776099. Epub 2018 Jun 19.
3
Surgical interventions for treating extracapsular hip fractures in older adults: a network meta-analysis.老年人髋关节囊外骨折的手术干预：一项网络荟萃分析。
Cochrane Database Syst Rev. 2022 Feb 10;2(2):CD013405. doi: 10.1002/14651858.CD013405.pub2.
4
Surgical interventions for treating intracapsular hip fractures in older adults: a network meta-analysis.老年人囊内型髋部骨折的手术治疗：网状荟萃分析。
Cochrane Database Syst Rev. 2022 Feb 14;2(2):CD013404. doi: 10.1002/14651858.CD013404.pub2.
5
Cephalomedullary nails versus extramedullary implants for extracapsular hip fractures in older adults.头髓钉与髓外植入物治疗老年人囊外髋部骨折。
Cochrane Database Syst Rev. 2022 Jan 26;1(1):CD000093. doi: 10.1002/14651858.CD000093.pub6.
6
Systemic pharmacological treatments for chronic plaque psoriasis: a network meta-analysis.慢性斑块状银屑病的全身药理学治疗：一项网状荟萃分析。
Cochrane Database Syst Rev. 2017 Dec 22;12(12):CD011535. doi: 10.1002/14651858.CD011535.pub2.
7
Interventions for treating supracondylar elbow fractures in children.治疗儿童髁上肘骨折的干预措施。
Cochrane Database Syst Rev. 2022 Jun 9;6(6):CD013609. doi: 10.1002/14651858.CD013609.pub2.
8
Fibular fixation in mid and distal extra-articular tibia fractures - A systematic review and meta-analysis.腓骨固定治疗中下段关节外胫骨骨折：系统评价和荟萃分析。
Foot Ankle Surg. 2022 Oct;28(7):809-816. doi: 10.1016/j.fas.2021.11.007. Epub 2021 Nov 17.
9
Systemic pharmacological treatments for chronic plaque psoriasis: a network meta-analysis.系统性药理学治疗慢性斑块状银屑病：网络荟萃分析。
Cochrane Database Syst Rev. 2021 Apr 19;4(4):CD011535. doi: 10.1002/14651858.CD011535.pub4.
10
A comparison of minimally invasive plate osteosynthesis (MIPO) versus open reduction and internal fixation (ORIF) in the management of tibial pilon fractures: A prospective randomized study.微创钢板接骨术（MIPO）与切开复位内固定术（ORIF）治疗胫骨平台骨折的比较：一项前瞻性随机研究。
Orthop Traumatol Surg Res. 2025 Jun 19:104323. doi: 10.1016/j.otsr.2025.104323.

引用本文的文献

1
Computer-aided robotics for applications in fracture reduction surgery: Advances, challenges, and opportunities.用于骨折复位手术的计算机辅助机器人技术：进展、挑战与机遇。
iScience. 2024 Dec 3;28(1):111509. doi: 10.1016/j.isci.2024.111509. eCollection 2025 Jan 17.
2
Effective Compression and a Minimally Invasive Rail Plate to Optimize Bone Transport in Distraction Osteogenesis: New Concepts.有效的加压与微创轨道钢板以优化牵张成骨中的骨运输：新概念
JB JS Open Access. 2024 Dec 3;9(4). doi: 10.2106/JBJS.OA.23.00144. eCollection 2024 Oct-Dec.
3
A Novel Approach Combined with MIPO Technique for the Treatment of Type C Pilon Fractures.

本文引用的文献

1
External Fixation combined with Limited Internal Fixation versus Open Reduction Internal Fixation for Treating Ruedi-Allgower Type III Pilon Fractures.外固定联合有限内固定与切开复位内固定治疗Ruedi-AllgowerⅢ型Pilon骨折的比较
Med Sci Monit. 2015 Jun 8;21:1662-7. doi: 10.12659/MSM.893289.
2
Finite element analysis of three commonly used external fixation devices for treating Type III pilon fractures.三种常用的治疗III型Pilon骨折外固定装置的有限元分析
Med Eng Phys. 2014 Oct;36(10):1322-30. doi: 10.1016/j.medengphy.2014.05.015. Epub 2014 Aug 7.
3
Comparison of Early and Delayed Open Reduction and Internal Fixation for Treating Closed Tibial Pilon Fractures.
一种结合 MIPO 技术治疗 C 型 Pilon 骨折的新方法。
Oxid Med Cell Longev. 2022 Jun 14;2022:7427255. doi: 10.1155/2022/7427255. eCollection 2022.
4
Treatment of pilon fractures with low profile plates.使用低轮廓钢板治疗Pilon骨折。
Int J Burns Trauma. 2021 Dec 15;11(6):486-493. eCollection 2021.
5
Ankle joint salvage and reconstruction by limited ORIF combined with an Ilizarov external fixator for complex open tibial pilon fractures (AO 43-C3.3) with segmental bone defects.采用有限切开复位内固定结合 Ilizarov 外固定架治疗伴有节段性骨缺损的复杂开放性胫骨 Pilon 骨折（AO 43-C3.3）的踝关节关节 salvage 和重建。
BMC Musculoskelet Disord. 2022 Jan 28;23(1):97. doi: 10.1186/s12891-022-05060-y.
6
Clinical and Functional Outcomes in Patients with Distal Tibial Fracture Treated by Circular External Fixation: A Retrospective Cohort Study.环形外固定治疗胫骨干骺端骨折患者的临床及功能结局：一项回顾性队列研究
Strategies Trauma Limb Reconstr. 2021 May-Aug;16(2):86-95. doi: 10.5005/jp-journals-10080-1516.
7
Efficacies and complications of internal fixations with PHILOS plate and intramedullary Multiloc nails in the surgical treatment of proximal humerus fractures.PHILOS钢板和髓内多锁钉内固定术治疗肱骨近端骨折的疗效及并发症
Am J Transl Res. 2021 Oct 15;13(10):11786-11796. eCollection 2021.
8
Large autologous ilium with periosteum for tibiotalar joint reconstruction in Rüedi-Allgöwer III or AO/OTA type C3 pilon fractures: a pilot study.采用带骨膜的大自体髂骨进行Rüedi-Allgöwer III型或AO/OTA C3型Pilon骨折的胫距关节重建：一项前瞻性研究。
BMC Musculoskelet Disord. 2020 Sep 25;21(1):632. doi: 10.1186/s12891-020-03659-7.
9
Novel anterior curved incision combined with MIPO for Pilon fracture treatment.新型前弧形切口联合 MIPO 治疗 Pilon 骨折。
BMC Musculoskelet Disord. 2020 Mar 18;21(1):176. doi: 10.1186/s12891-020-03207-3.
10
The biology and treatment of acute long-bones diaphyseal fractures: Overview of the current options for bone healing enhancement.急性长骨干骨折的生物学与治疗：增强骨愈合的当前选择概述
Bone Rep. 2020 Jan 28;12:100249. doi: 10.1016/j.bonr.2020.100249. eCollection 2020 Jun.
早期与延期切开复位内固定治疗闭合性胫骨Pilon骨折的比较
Foot Ankle Int. 2014 Jul;35(7):657-64. doi: 10.1177/1071100714534214. Epub 2014 May 19.
4
[Case-control study on effects of external fixation combined with limited internal fixation for the treatment of Pilon fractures of Rüedi-Allgower type III].外固定联合有限内固定治疗Rüedi-AllgowerⅢ型Pilon骨折的病例对照研究
Zhongguo Gu Shang. 2014 Jan;27(1):29-33.
5
Total fractures of the tibial pilon.胫骨平台骨折
Orthop Traumatol Surg Res. 2014 Feb;100(1 Suppl):S65-74. doi: 10.1016/j.otsr.2013.06.016. Epub 2014 Jan 9.
6
[Analyses of relevant influencing factors in the treatment of tibial pilon fractures].[胫骨 Pilon 骨折治疗中相关影响因素分析]
Zhonghua Yi Xue Za Zhi. 2012 Jul 17;92(27):1909-12.
7
External fixation versus ORIF for distal intra-articular tibia fractures.外固定与切开复位内固定治疗胫骨远端关节内骨折的对比
Orthopedics. 2012 Jun;35(6):e862-7. doi: 10.3928/01477447-20120525-25.
8
Open reduction with internal fixation versus limited internal fixation and external fixation for high grade pilon fractures (OTA type 43C).切开复位内固定与有限内固定加外固定治疗高能量 Pilon 骨折（OTA 分型 43C）。
Foot Ankle Int. 2011 Oct;32(10):955-61. doi: 10.3113/FAI.2011.0955.
9
Tibial pilon fractures: which method of treatment?胫骨 Pilon 骨折：哪种治疗方法？
Injury. 2010 Nov;41(11):1183-90. doi: 10.1016/j.injury.2010.08.041. Epub 2010 Sep 25.
10
Complications of definitive open reduction and internal fixation of pilon fractures of the distal tibia.胫骨远端 Pilon 骨折切开复位内固定的并发症。
Int Orthop. 2011 Mar;35(3):413-8. doi: 10.1007/s00264-010-1005-9. Epub 2010 Mar 30.