Analysis Of Influencing Factors On Clinical Curative Effect Of Operative Therapy For High-Energy Tibia Pilon Fracture

Objective:Retrospectively analysis the relations between patients'age, gender, education, income, fracture types, timing for surgery, surgery techniques, quality of fracture reduction, complications, timing for postoperative functional exercise and ankle function to guide daily clinical work.Methods:Select45cases of tibia Pilon fracture cured from January2008to December2009in the department of Orthopedics in the Second XiangYa Hospital of Central South University, through the computer-based patient record system. By reviewing the records, the age, gender, education, income, fracture types, surgery techniques, timing for surgery, quality of fracture reduction, complications, timing for postoperative functional exercise of patients were taken notes in detail. The patients were called back to the hospital to complete Mazur ankle function scoring questionnaire. All of the data were analyzed by SPSS19.0statistical software for windows, with multiple linear regression to reveal the influencing factors affecting the ankle function.Results:41of respondents were reinterviewed and evaluated Mazur ankle function score, with a91.1%reinterview rate. The parameters of the age, gender, education, income, fracture types, surgery techniques, timing for surgery, quality of fracture reduction, complications, timing for postoperative functional exercise of patients were analyzed to establish a statistic model by means of multiple linear regression, which showed that the P values of quality of fracture reduction, fracture type, timing for postoperative functional exercise were statistically significant (P<0.05). The regression equation was Y=70.586+4.060X3-3.562X4+11.585X5.Conclusion:Quality of fracture reduction, fracture type, timing for postoperative functional exercise are the influencing factors on clinical curative effect of operative therapy for high-energy tibia Pilon fracture.