一期植骨结合VSD治疗严重开放性Pilon骨折的疗效分析  

Clinical effect analysis of primary bone graft and VSD for open and complex pilon fractures

作　　者：田大为[1] 熊敏[1] 何宏生[1] 黄晓华[1] 赵辉[1] 张鹏[1] 

机构地区：[1]湖北医药学院附属东风总医院骨科骨科研究所,十堰442000

出　　处：《国际外科学杂志》2014年第8期521-524,F0003,共5页International Journal of Surgery

基　　金：湖北省教育厅科学技术研究项目（No.B20112102）

摘　　要：目的 探讨一期植骨结合负压封闭引流术在治疗开放性复杂Pilon骨折中的临床疗效.方法 回顾性研究湖北医药学院附属东风总医院2010年1月-2012年1月收治的开放性复杂Pilon骨折56例,全部采用一期植骨结合负压封闭引流术,有限内固定结合外固定支架治疗,搜集术后皮瓣和软组织愈合情况、骨折愈合率、踝关节功能评分等临床资料.结果 骨折全部愈合,无创面软组织感染缺血等并发症发生.Helfer评分,优22例,良21例,可8例,差5例,优良率达到了76.8％.结论 一期植骨结合负压封闭引流术治疗严重开放性Pilon骨折可同时处理骨折复位固定、骨缺损及软组织覆盖等问题,具有操作简单、预防感染明显、骨折愈合率高和关节功能恢复良好等作用.Objective To investigate the clinical effect of primary bone graft and VSD for open and complex Pilon fractures.Methods Fifty-six cases with open and complex Pilon fractures admitted in Dongfeng general hospital between January 2010 and January 2011 were treated with primary bone graft and VSD,the clinical datum were collected,for example soft tissue union,fracture union,incidence rate of traumatic arthritis,ankle article function scores.Results Fracture healed,no soft tissue infection happened,according to Helfer scores criteria,there were 22 excellent,21 good,8 fair,5 poor,excellent and good rate were 76.8％.Conclusions The method of primary bone graft and VSD resolved many questions simultaneously,for example fracture fixation,bone defect and soft tissue coverage,which has feature of simpler operation,lower infection incidence rate,better fracture union and article function than conventional methods.

关 键 词：骨折 一期植骨 VSD 开放性复杂Pilon骨折 治疗结果 回顾性研究 

分 类 号：R687.3[医药卫生—骨科学]