Ⅲ型Pilon胫骨骨折三种治疗方法的疗效分析  

The Curative Effect Analysis of Using Three Surgical Methods in the Treatment of Type Ⅲ Pilon Fractures

作　　者：穆尚强[1] 孙爽[1] 梅继文[1] 王宇[1] 

机构地区：[1]吉林医药学院附属医院,吉林吉林132013

出　　处：《中国医学创新》2014年第9期6-8,共3页Medical Innovation of China

基　　金：吉林省卫生厅基金资助项目(2011ZC024)

摘　　要：目的:探讨三种治疗方法对Ⅲ型Pilon胫骨骨折治疗的疗效分析。方法:对29例Ruedi-AllgowerⅢ型Pilon骨折患者,分别用三种方法进行手术治疗,比较术后早期康复功能锻炼的愈合效果。结果:29例均获随访,平均随访15个月;骨折全部愈合,按Mazur评定标准,功能优良率分别为Ⅲa组优良率75.0%;Ⅲb组优良率80.0%;Ⅲc组优良率71.4%;Ⅲb组优良率最高。结论:对于Ruedi-AllgowerⅢ型Pilon骨折,选择适宜手术时机,对Ⅲa型、Ⅲb型和Ⅲc型骨折采用不同方法,因地制宜,并结合早期功能锻炼,疗效均满意。Objective：To investigate the curative effect analysis of using three methods in the treatment of typeⅢPilon fracture.Method：29 patients with Ruedi-AllgowerⅢPilon fractures were treated by three kinds of methods of operation,the healing effect of early postoperative rehabilitation exercise were compared.Result：29 cases had been followed up,with an average follow-up of 15 months.All fractures healed,according to the assessment standards of“Mazur”,the excellent and good rate of function as follows：Ⅲa was 75.0%;Ⅲb was 80.0%;Ⅲc was 71.4%;Ⅲb was the highest. Conclusion：For Ruedi-Allgower typeⅢPilon fractures,choose appropriate surgical timing,for typeⅢa,typeⅢb and typeⅢc fractures in different ways,according to local conditions,and combined with early functional exercise and curative effect are satisfied.

关 键 词：PILON骨折 胫骨骨折 内固定 

分 类 号：R687.3[医药卫生—骨科学]