摘要
目的:探讨开放性Pilon骨折的治疗方法及疗效评价。方法:回顾性分析1996年2月至2009年3月治疗126例开放性Pilon骨折患者,男72例,女54例;年龄17～65岁,平均36岁。按Ruedi-Augower分类方法,Ⅰ型28例,Ⅱ型58例,Ⅲ型40例。外固定支架结合有限内固定31例,切开复位解剖钢板内固定80例,切开复位交叉克氏针内固定15例。结果:所有患者获得随访,时间10～26个月,平均16个月。骨愈合时间8～14周,平均10周。根据踝关节评价标准,优89例,良26例,可9例,差2例,优良率达91.2%。结论:采用"个性化"治疗原则,有效避免并发症的发生且利于关节功能的恢复。
Objective：To evaluate the treatment of open Pilon fractures. Methods：A total of 126 open Pilon fracture cases were reviewed retrospectively. The patients were treated from February 1996 to March 2009,included 72 males and 54 females with an average age of 36 years old ranging from 17 to 65 years. According to the Ruedi-Augower classification,there were 28 cases of type I,58 of type II,and 40 of type III. Among all the cases,31 cases were treated with external fixators combined with limited internal fixations,80 cases were treated with open reduction and internal fixation with anatomical plates,15 cases with open reduction and cross K-wire fixations. Results：All cases were followed up for from 10 to 26 months with an average of 16 months. The average bone healing time was 10 weeks （from 8 to 14 weeks）. According to the Mazur ankle function evaluation, the results were excellent in 89 cases,good in 26,fair in 9,poor in 2. The excellent and good rate was 91.2%. Conclusion：The ＂Personalized treatment principle＂ effectively prevents the occurrence of complications and helps to restore the joint functions.
出处
《中国骨伤》
CAS
2010年第2期132-134,共3页
China Journal of Orthopaedics and Traumatology
关键词
胫骨骨折
关节
骨折固定术
内
外科手术
Tibial fractures
Joints
Fracture fixation
internal
Surgical procedures
operative
