摘要
目的探讨Pilon骨折的适宜手术方法、最佳手术时机及其手术疗效。方法回顾性分析1998至2004年进行手术治疗的38例单侧胫骨Pilon骨折病例,38例中9例行切开复位三叶型钢板内固定,26例行有限切开内固定并辅以外固定,其中应用外固定支架者24例、辅以石膏托者2例。术后平均随访30.2个月。结果采用Mazur评分系统评估手术疗效,38例患者中,优28例,良8例,可2例。术后3例出现创面不愈合,4例发生感染,1例骨折延迟愈合,4例发生关节退行性变。结论正确选择手术时机,根据骨折类型和条件灵活选择固定方式是取得良好手术效果的关键。
Objective To evaluate the choice of operative method,timing of surgery and the effect of tibia Pilon fracture. Methods 38 patients with unilateral tibia Pilon fracture operatively treated between 1998 and 2004 were followed up. 9 patients were underwent internal fixation with the clover leaf plate, 26 patients had limited open reduction and internal fixation coupled with external fixation, which included 24 patients with the external fixation apparatus and 2 patients with plaster splint. The average period of follow-up of these 38 patients was 30.2 months. Results Ac cording to Mazur% criterion,the result of the treatment was evaluated as excellent in 28 patients,good in 8 patients and fair in 2 patients. Complications included wound dehiscence in 3 cases,infection in 4 cases,delayed union of fracture 1 case and late degenerative changes of the ankle joint in 4 cases. Conclusion It is important to have the right choice and timing of surgery and correct method of fixation in tibia Pilon fractures.
出处
《实用骨科杂志》
2007年第8期459-461,共3页
Journal of Practical Orthopaedics
关键词
胫骨骨折
手术
骨折固定术
tibial fracture
operation
fracture fixation
