胫骨Pilon骨折30例治疗体会  

Treatment of Pilon fracture:30 cases report

作　　者：刘成[1] 肖军[1] 李坚[1] 付纳新[1] 孟桢桢[1] 彭风平[1] 赵伟[1] 

机构地区：[1]三峡大学附属第三临床学院葛洲坝中心医院骨科,湖北宜昌443002

出　　处：《临床骨科杂志》2006年第3期249-250,共2页Journal of Clinical Orthopaedics

摘　　要：目的 探讨Pilon骨折的手术方法及疗效.方法 30例Pilon骨折患者,16例切开复位三叶草钢板或胫骨远端内侧解剖型钢板固定, 14例有限切开内固定结合外固定（外支架固定6例,石膏8例）.结果 平均随访8个月～3年,按Tornetta等疗效评价标准：优19例,良5例,可4例,差2例.结论 重点考虑软组织情况,选择恰当的手术时机,制定个体化治疗方案和采用多元化的固定方式,能减少并发症并获得较好疗效.Objective To investigate the treatment and effect of Pilon fracture. Methods 16 cases were undergone open reduction and internal fixation with clover leafy plate, and 14 were undergone limited open internal fixation combined with external fixation in 6 and plaster immobilization in 8. Results All cases were followed up for 8 ～ 36 months. According to Tornetta effect evaluation system, the results were excellent in 19 cases, good in 5, fair in 4 and poor in 2. Conclusions In the treatment of Pilon fracture, soft tissue condition should be mainly considered. Individualized and combined treatment can provide better result and less complication.

关 键 词：PILON骨折 骨折固定术 

分 类 号：R683.42[医药卫生—骨科学] R687.3[医药卫生—外科学]