摘要
目的探讨影响胫骨Pilon骨折手术疗效的相关因素。方法手术治疗32例胫骨Pilon骨折,根据Ruedi-Allgower分型,Ⅰ型6例,Ⅱ型16例,Ⅲ型10例;胫骨骨折9例,伴有腓骨骨折23例;开放性骨折9例。结果采用Mazur评分系统评估手术疗效,32例患者,优2例,良19例,可11例。术后并发症包括创面不愈合3例,延迟愈合1例和关节退行性变5例。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 study the related factors of operating on Pilon bone fracture. Methods： 32 eases with tibial Pilon fracture treated operative,according to the Ruedi- Allgower were divided the type, Ⅰ type 6 examples, Ⅱ typel6 examples, Ⅲ type 10example. Nine eases of tibial fracture, and fibula fracture associated with 23 eases; Nine eases of open fractures. Resuits： According to Mazur＇efitefion, the result of the treatment was evaluated as excellent in2 patients, good in 19 patients and fair in 11patients. No poor result was found complications included wound dehiscence in 3 eases, delayed union of fracture 1 ease and late degenerative change of the ankle joint in 5 eases. Conclusion： It is important to have the right choice in timing of surgery and correct method of fixation in tibia pilon fractures for a satisfactory result.
出处
《泰山医学院学报》
CAS
2007年第1期54-55,共2页
Journal of Taishan Medical College
关键词
胫骨骨折
固定
手术
tibial fracture
fixation
operation
