Hybrid外固定支架治疗高能量损伤胫骨远端骨折  

Treatment of intertrochanteric and subtrochanteric femur fractures with indirect reduction and submuscular reversed polyaxial locking plate fixation

作　　者：冯健[1] 胡祖愉 刘洪新[1] 王文跃[1] 朱海涛[1] 王俭[1] 胡江[1] 高均宏 

机构地区：[1]海盐县人民医院骨科,浙江海盐314300

出　　处：《临床骨科杂志》2011年第2期139-141,共3页Journal of Clinical Orthopaedics

摘　　要：目的探讨Hybrid外固定支架治疗高能量损伤胫骨远端骨折的疗效。方法采用Hybrid外固定支架治疗15例高能量损伤致胫骨远端骨折患者。结果 15例均获随访,时间12-30个月。骨折愈合时间4-22（5.7±2.1）个月。其中1例因骨不连二期改用钢板内固定加自体髂骨植骨后愈合。根据AOFAS踝关节和后足评分为52-100（88±14）分。结论 Hybrid外固定支架治疗高能量损伤的胫骨远端骨折能有效维持骨折稳定性,软组织愈合佳。Objective To evaluate the clinical effects of treating intertrochanteric and subtrochanteric femur fractures with indirect reduction and submuscular reversed polyaxial locking plate fixation.Methods 28 patients of intertrochanteric and subtrochanteric femur fractures were treated by indirect reduction and submuscular reversed polyaxial locking plate fixation.Results All 28 patients were followed up for 5～11 months.Fractures healed at 3～6 months.No complications as limb shortening,or varus deformity was found.Conclusions For patients with fractures with trochanteric extension,reverse obliquity fractures,subtrochanteric fractures associated with indwelling intramedullary hardware,patients with intramedullary canals too small for intramedullary nailing,indirect reduction and submuscular reversed polyaxial locking plate is effective.

关 键 词：胫骨远端骨折 PILON骨折 Hybrid外固定支架 高能量损伤 外固定器 

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