Pilon骨折术前跟骨牵引与手术治疗  

Calcanceal traction and surgical treatment before operation of Pilon fractures

作　　者：余汉峰[1] 钱塘[1] 冷震[1] 王松韬[1] 

机构地区：[1]安徽省蚌埠市第二人民医院骨科,233000

出　　处：《蚌埠医学院学报》2004年第6期506-507,共2页Journal of Bengbu Medical College

摘　　要：目的 :探讨Pilon骨折术前跟骨牵引的重要性及Pilon骨折的治疗方法的适应证。方法 :治疗 32例 34肢 ,Pilon骨折Ⅰ型 6例 ,Ⅱ型 2 1例 ,Ⅲ型 5例。采用闭合复位石膏外固定 6例 ,跟骨牵引辅以小夹板外固定 4例 ,胫骨远端解剖钢板 17例 ,有限手术切开螺钉内固定单臂外固定支架固定 5例 ,有 2例采用自体髂骨植骨 ,3例采用人工骨植骨。结果 :随访 4个月～ 3.5年 ,优良 2 3例 ,可 5例 ,差 4例。结论 :根据Pilon骨折的不同分型 。Objective:To investigate the importance of calcanceal traction before operation of Pilon fracture and its indications.Methods:Thirty-two cases(34 limbs) of Pilon fracture were treated.According to Rüedi-Allgower classification,6 cases were classified as typeⅠ,21 cases typeⅡ,and 5 cases typeⅢ.Six cases were treated with anipalative reduction and external fixation by cast,4 cases with calcanceal traction and spliats fixation,17 cases with anatominal plate of distal tibia and 5 cases with limited open reduction and internal screw fixation combined with unilateral external fixation.Two cases received auto-ilium transplant and 3 cases artificial bone transplant.Results:All the cases were followed up for 4 months to 3.5 years.The results were excellent in 23 cases,good in 5 and poor in 4.Conclusions:proper measures should be taken according to the types of Pilon fracture.

关 键 词：PILON骨折 跟骨牵引 手术治疗 适应证 

分 类 号：R683.42[医药卫生—骨科学]