52例Pilon骨折诊治效果分析  

Operative treatment of tibial pilon fractures and clinical analysis of 52 cases

作　　者：吴定宇[1] 王永剑[1] 徐开明[1] 曹恒昌[1] 范昭[1] 吴镇权[1] 

机构地区：[1]北京大学深圳医院,广东深圳518036

出　　处：《中外医疗》2012年第17期26-27,共2页China & Foreign Medical Treatment

摘　　要：目的探讨Pilon骨折的诊断与治疗方法。方法回顾分析2006年9月～2010年8月收治的52例Pilon骨折患者的手术治疗效果,其中患者平均年龄40.6岁(18～63岁),其中Ⅰ型骨折5例,Ⅱ型30例,Ⅲ型17例;开放性骨折14例,闭合性骨折38例。本组患者中23例实施切开后复位钢板内固定,急诊手术复位三叶草钢板内固定14例,有限切开固定并辅以石膏托外固定15例。结果按Mazur标准,优20例,良26例,可5例,差1例,优良率为88.46%。结论 Pilon骨折需早期和正确诊断,影响Pilon骨折预后受很好因素影响,Pilon骨折手术治疗成功的关键是根据不同的骨折类型和特点,选择有针对性的手术方式,使胫骨关节面的复位质量提高,更有效的防治并发症发生。Objective To study the diagnosis and treatment of Pilon fracture. Methods Follow-up were done for 52 patients with tibial Pilon fracture who had been treated in our department betweeb September 2006 and August 2010. Their average age was 40.6 years （ranging from 18 to 63 years）. 5 cases were type I Pilon fractures. 30 cases were type II Pilon fractures. 17 cases were type III Pilon fractures. 14 cases were open fracture, and 38 cases were closed fracture. 23 cases of tibial fracture fixed with plate, 15 cases were treated with the external fixators combined with limited internal fixation, and 14 cases were treated with Ill leaves type plate. Results According to Mazur＇s criteria, the result was evaluated as excellent in 20 cases, good in 26 cases, fair in 5 cases and poor in 1 cases. The excellent and good rate was 88.46%. Conclusion Pilon fracture need be diagnosed early and correctly. Many factors can affect the tibial Pilon fracture, the key points for a successful operation are careful assessment of the in- jury, prevention of complications for Pilon fractures, right procedure and timing of surgery.

关 键 词：胫骨 PILON 骨折治疗 

分 类 号：R658[医药卫生—外科学]