胫骨远端“L”型锁定钢板治疗复杂Pilon骨折  

作　　者：沈武君 严帮吉 卢烨超 

机构地区：[1]浙江省慈溪市中医医院骨伤科,315300

出　　处：《浙江临床医学》2018年第6期1110-1111,1114,共3页Zhejiang Clinical Medical Journal

摘　　要：目的探讨应用胫骨远端“L”型锁定铜板治疗复杂Pilon骨折的临床效果。方法应用胫骨远端“L”型锁定钢板治疗Pilon骨折21例、27侧（观察组），应用常规双钢板技术治疗复杂Pilon骨折20例、26侧（对照组）。结果观察组21例患者均于术后进行随访，时间为13~18个月。骨折愈合时间为3~13个月，Mazur评分75~98分，平均（92.82±3．42）分，优良率可达92.6％，明显大于对照组的65．4％，差异有统计学意义（P〈0．05）；软组织坏死发生率显著低于对照组，差异有统计学意义（P〈0．05）；切口感染发生率亦低于对照组，但差异无统计学意义（P〉0．05）。结论胫骨远端“L”型锁定钢板治疗复杂Pilon骨折，固定性能良好且愈合率高，术后可早期进行功能性锻炼，值得临床推广应用。Objective To discuss the clinical effects of ＂L＂ type locking plate used for distal tibia complex Pilon fractures. Methods The distal tibial ＂L＂ locking plate was used to treat 21 cases of Pilon fracture and 27 sides （ observation group ） . 20 cases of complex Pilon fracture and 26 sides of the control group were treated by conventional double plate technique. Results Twenty-one patients of observation group were followed up for thirteen months to eighteen months.The fracture healing time was ranging from three months and thirteen months.The Mazur score was between 75 and 98, and the mean was （ 92.82 ± 3.42 ） . The good rateof observation group was 92.6%, which was significant higher than that in control group （ 65.4% ） , and the difference was statistically significant （ P〈0.05 ） . Also, the incidence of soft tissue necrosis was lower than that in control group, and the differences was significant （ P〈0.05 ） . The incidence of incision infection was lower than that in control group, but no significant statistically difference （ P〉0.05 ） . Conclusion The therapeutic method of distal tibia complex Pilon fractures treated by ＂L＂ type locking plate has good fixed and healing performance. It can be conducted early functional exercise in postoperative and worthy of popularization and application.

关 键 词：胫骨远端"L" 型锁定钢板 PILON骨折 切开复位内固定术 

分 类 号：R683.42[医药卫生—骨科学]