摘要
目的探讨分步延期手术治疗Ⅱ、Ⅲ型Pilon骨折的临床疗效。方法回顾性分析38例Ⅱ、Ⅲ型Pilon骨折患者的临床资料。根据Ruedi-Allgower分型系统进行分型，Ⅱ型18例，Ⅲ型20例。予以跟骨牵引或简单的外固定架行骨折临时固定7—17d，待局部软组织损伤恢复后再行手术治疗。结果术后随访10～18个月。根据Mazur评分系统评定踝关节功能。优12例，良18例，可6例，差2例，优良率78．9％。结论Ⅱ、Ⅲ型Pilon骨折行分步延期手术治疗术后并发症少，长期随访踝关节功能优良。
Objective To explore the therapeutic effect of two - stage delayed open reduction and internal fixation on Pilon fractures. Methods The clinical data of 38 patients with type Ⅱ and type Ⅲ Pilon fracture were analyzed retrospectively. According to the Ruedi -Allgower classification, there were 18 cases with type Ⅱ and 20 cases with type Ⅲ fracture. All patients underwent temporary fixation with ealeaneal traction or external fixation for 7 to 17 days, and then they were treated with delayed surgery when the soft tissue injuries subsided. Results Follow - up was performed for 10 to 18 months. Based on the Mazur classification, the ankle function in 12 cases was excellent, 18 eases as good,6 cases as fair and 2 cases as poor,with a satisfactory rate of 78.9%. Conclusion Two - stage delayed open reduction and internal fixation is a reasonable and effective procedure in treating type Ⅱ and type Ⅲ Pilon fractures with advantages of few complications and satisfactory ankle function.
出处
《中国基层医药》
CAS
2016年第11期1715-1717,共3页
Chinese Journal of Primary Medicine and Pharmacy
关键词
胫骨骨折
骨折固定术
踝关节
Tibial fractures
Fracture fixation
Ankle joint
