锁定加压钢板接骨术治疗胫骨Pilon骨折  

Osteosynthesis with Locking Compression Plate in the Treatment of Tibial Pilon Fractures

作　　者：郭明君[1] 赵海恩[1] 胡运生[1] 马保安[1] 张勇[1] 

机构地区：[1]第四军医大学唐都医院骨科,陕西西安710038

出　　处：《现代生物医学进展》2012年第5期900-903,共4页Progress in Modern Biomedicine

摘　　要：目的:评估锁定加压钢板接骨术治疗胫骨Pilon骨折的应用价值。方法:2006年4月-2010年12月,对48例胫骨Pilon骨折患者,采用锁定加压钢板(LCP)治疗的结果进行总结。手术前后运用AOFAS(美国足与踝关节协会)踝与后足功能评分(Ankl-e-Hindfoot Scale)系统进行治疗效果的评估。结果:本组按AOFAS踝与后足功能评分系统:术前平均为(67.6±7.4)分,可18例,差30例;术后评分改善到平均为(90.9±7.2)分,优19例,良21例,可5例,差3例,踝与后足功能评分术前与术后比较,差异有统计学意义(P<0.05)。结论:用锁定加压钢板接骨术治疗胫骨Pilon骨折,有利于踝关节功能恢复,疗效确切,适应症广泛,较其他内固定器而言,锁定加压钢板在临床上更适用。To evaluate the feasibility and value of locking compression plate osteosynthesis in the treatment of tibial Pilon fracture. Methods： Between April 2006 and December 2010, the results of treatment oftibial pilon fracture with locking compressi- on plate osteosynthesis in 48 patients were reviewed. By AOFAS Ankle-Hindfoot Scale System determine the preoperative and postoper- ative therapeutic effect of locking compression plate osteosynthesis for the treatment of tibial pilon fractures. Results： The ankle-hindfo- ot function were evaluated by AOFAS Ankle-Hindfoot Scale System： The ankle-hindfoot score of preoperative was 69.6 7.3 ±（mean± standard deviation）, fair in 18 cases and poor in 30 cases; the ankle-hindfoot score of postoperativewere 90.2 ± 7.8 （mean＋ standard deviation）, excellent in 19 cases, good in 21 cases, fair in 5 cases and poor in 3 case, the preoperative and postoperative ankle-hindfoot function score were showed significant difference （P〈0.05）. Conclusions： Osteosynthesis with locking compression plate is an effective treatment for tibial pilon fracture for good effects of ankle-hindfoot functional recovery and more extensive indications than using other internal fixators, so it is more commonly used in clinic.

关 键 词：锁定加压钢板 接骨术 切开复位内固定 胫骨PILON骨折 

分 类 号：R683.42[医药卫生—骨科学]