胫骨远端双钢板治疗复杂Pilon骨折的临床疗效分析  

作　　者：孔劲松[1] 陈滔[1] 郑鑫[1] 阮建伟[1] 宫小康[1] 

机构地区：[1]浙江省台州市立医院,318000

出　　处：《浙江临床医学》2016年第8期1425-1426,1431,共3页Zhejiang Clinical Medical Journal

摘　　要：目的探讨采用胫骨远端双铜板治疗复杂PiIon骨折的临床疗效。方法2叭2年1月至2014年6月，采用胫骨远端前外侧锁定加压钢板联合胫，野内侧锁定加压铜板内固定治疗累及胫距关节面的胫骨远端C2、C3型复杂骨折26例，均先行腓骨骨折切复内固定术治疗后参照Mazur评分标：住，进行疗效评定。结果26例均获随访，时间为6~18个月，平均10.3个月，根据Mazur评分标准，优14例，良10例，可2例24倒切口I期愈合，2例切口经换药获得Ⅱ期愈合，无l例出现感染、骨折延迟愈合等并发症、结论胫骨远端前外侧锁定加压钢板联合胫骨内侧锁定加压钢板内固定治疗复杂Pilon骨折固定牢靠，能有效防止再塌陷与骨折再移位，术后可早期功能锻炼恢复快，Objective To explore the clinical result of using double distal tibial plate for complex Pilon fractures. Methods From January 2012 to June 2014, 26 patients of type C2 and C3 complex Pilon fractures were treated with anterolateral distal tibial locking compression plate combined with medial tibial locking compression plate.All patients with fibular fractures were treated with open reduction and internal fixation first.The therapeutic effects were evaluated by Mazur score criteria. Results All patients were followed up 6-18 months with an average of lO.3months.According to the Mazur score criteria, 14 patients obtained an excellent result, 10 good, and 2 fair.lncision got primary wound healing in 26 patients, incision got delayed wound healing by dress changing in 2 patients.No infection and delayed bone healing complications occurred. Conclusions Internal fixation with anterolateral distal tibial locking compression plate combined with medial tibial locking compression plate, for type C2 and C3 complex Pilon fractures can prevent resubsidence and fractures displace effectively and can get reliable fixation.lt is an effective internal fixation method, and can provide early functional recovery.

关 键 词：PILON骨折 手术 内固定 锁定加压钢板 

分 类 号：R683.42[医药卫生—骨科学]