应用有限内固定结合外固定架治疗胫骨Pilon骨折  

Limited internal fixation combining with external fixation for the treatment of Pilon fractures

作　　者：孙凯[1] 杨宝来[2] 

机构地区：[1]海南省文昌市人民医院,海南文昌570000 [2]河北省安国市医院骨科,河北安国071200

出　　处：《海南医学院学报》2010年第4期469-472,共4页Journal of Hainan Medical University

基　　金：海南医学院科研基金资助学报项目(0020100119)~~

摘　　要：目的:观察有限内固定结合外固定架治疗胫骨Pilon骨折的临床效果。方法:对2002年1月～2006年12月单侧胫骨Pilon骨折患者12例采用有限切开内固定并辅以外固定架外固定,术后平均随访12.5个月。结果:本组患者12例,优10例,良2例。术后并发症:创面不愈合2例,感染1例。结论:胫距关节面的解剖复位和恢复肢体长度是治疗本病的关键。此术式可早期活动踝关节,是治疗Pi-lon骨折一种较好的选择。Objective：To evaluate the clinical effects of the limited internal fixation combining with external fixation for the treatment of Pilon fractures.Methods：Twelve patients with unilateral tibia Pilon fracture were treated with limited internal fixation combining with external fixation,follow-up of an average period of 12.5 months were conducted.Results：According to Mazur＇s criterion,outcomes of the treatment were evaluated as excellent in 10 patients,good in 2.Complications of wound dehiscence were observed in 2 cases,infection in 1 case.Conclusion：In this procedure,restoring normal limb length and accurate anatomical reduction of tibial astragaloid joint is the key to success.This method allows ankle joint to move early and is an optimal choice for Pilon fractures.

关 键 词：PILON骨折 骨折固定术 外固定架 

分 类 号：R683.42[医药卫生—骨科学]