老年人Pilon骨折25例临床分析  

Clinical analysis of 25 cases Pilon fractures of the elderly

作　　者：贾奇学[1] 邱波[1] 陈宣银[1] 

机构地区：[1]武汉大学人民医院骨外科,湖北武汉430060

出　　处：《中国医药导报》2012年第5期148-149,共2页China Medical Herald

摘　　要：目的探讨Pilon骨折的治疗方法与时机。方法选择Pilon骨折的老年患者25例,根据骨折的不同类型选择不同的手术时机及方法,并进行随访,观察临床疗效。结果术后随访10～36个月,平均24个月。按Mazur评分标准,治疗效果优5例,良15例,可3例,差2例,优良率为80%。结论 Pilon骨折应做详细的术前准备,对预后与骨折类型及软组织损伤应做正确评估,选择正确手术方法和手术时机是治疗成功的关键。Objective To study the surgical methods and operative time on Pilon fractures.Methods 25 cases Pilon fractures of the elderly were chosen,different methods of fixation surgery and operative time were used in accordance with fractures types,and the clinical efficacy were followed up to observe.Results Patients were followed up for 10-36 months,average 24 months.the treatment effect of excellent were 5 cases,well were 15 cases,common were 3 cases,inferior were 2 cases,with the good rate was 80%,according to the standard of Mazur score.Conclusion To get best clinical results,a detail preoperative preparation should be done for the patients with Pilon fractures,it should be carefully considered the type of the Pilon fractures and prognosis of soft tissue injury.Choosing the correct surgical approach and timing of surgery is the key to successful treatment.

关 键 词：PILON骨折 骨质疏松 软组织损伤 

分 类 号：R683.42[医药卫生—骨科学]