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目的：探讨复杂胫骨Pilon骨折手术方法选择与疗效。方法选取2011年8月至2013年12月复杂胫骨Pilon骨折患者128例，将其随机分为A组（64例）与B组（64例）。A组患者采用外固定支架结合有限内固定治疗；B组患者采用切开复位并行内固定治疗，比较两组患者治疗效果及并发症发生情况。结果两组患者治疗1年后的优良率比较差异无统计学意义（P＞0.05）。两组Ⅰ型患者术后踝关节功能评分比较差异无统计学意义（P＞0.05）；B 组Ⅱ型患者术后踝关节功能评分明显优于A组（P＜0.05）；A组Ⅲ型患者术后踝关节功能评分明显优于B组（P＜0.05）。两组患者术后并发症发生率比较差异无统计学意义（P＞0.05）。结论对于复杂胫骨Pilon骨折患者行手术治疗时，应根据骨折分型采取不同的手术方法，能够有效避免或减少术后并发症发生，更利于踝关节功能恢复，对提高患者术后生活质量有重要意义。“,”Objective To explore the operation method and ef ect analysis and research of complex tibial Pilon fracture. Methods Selected from 2011 August-2013December 128 cases of complex tibial Pilon fracture patients, which were randomly divided into A group (64 cases) and B group (64 cases).Patients in group A were treated by external fixator combined with limited internal fixation treatment; group Bwere treated with open reduction and internal fixation for the treatment of theparal el, two groups of treatment ef ect and complications were compared between.Results The excel ent and good rate of two groups of patients after 1 years of no significant dif erence (P>0.05).No significant dif erence of score function of ankle joint two groups of type I patients (P>0.05);B group II patients postoperative ankle function score wassignificantly higher than in group A (P<0.05);significantly higher than in group B ankle function score in A group Ⅲ patients (P0.05). Conclusion The operation for patients with the treatment of complex tibial Pilon fractureaccording to fracture type, should take dif erent methods of operation, canef ectively avoid or reduce postoperative complications, more conducive to thefunctional recovery of ankle joint,to improve the quality of life of patients after operation is important.