后Pilon骨折的诊治现状与进展  

Current status and progress in the diagnosis and treatment of posterior pilon fracture

作　　者：杨茂赓 刘义[1] 陈永成 杨彦熙 吴迪[1] Yang Maogeng;Liu Yi;Chen Yongcheng;Yang Yanxi;Wu Di(Department of Trauma Center,the First Affiliated Hospital of Kunming Medical University,Kunming 650000,China)

机构地区：[1]昆明医科大学第一附属医院创伤中心,昆明650000

出　　处：《创伤外科杂志》2021年第7期551-554,共4页Journal of Traumatic Surgery

基　　金：云南省科技重点研发项目(2018BA064)。

摘　　要：后Pilon骨折是一种新近报道的Pilon骨折的特殊模式,其特征是累及后外踝和后内踝。在过去由于后Pilon骨折没有得到充分的认识,常被误诊为后踝骨折,也导致这类患者功能恢复不良。因此是否能作出正确诊断至关重要,只有熟悉后Pilon骨折的各种影像学特征并了解合并损伤的机制,才能及时、准确地诊断后Pilon骨折,并改进这种具有挑战性骨折的术前计划和临床结果。本文着重介绍了后Pilon骨折的损伤机制,现有的分类方案,并讨论了目前使用的各种手术方法。Posterior pilon fracture is a newly reported special pattern of pilon fractures,which is characterized by involvement of the posterior lateral malleolus and posterior medial malleolus. In the past,posterior pilon fracture was always misdiagnosed as posterior malleolus fracture because of no adequate acknowledgement,which also led to poor functional recovery in these patients. Thus it is vital to make a correct diagnosis. Only when we are familiar with various imaging features of posterior pilon fracture and understand the mechanism of combined injury,can we diagnose posterior pilon fracture timely and accurately,and the preoperative plan and clinical outcome of this challenging fracture be improved. This paper focuses on introducing the injury mechanism of posterior pilon fracture and the classification scheme used,as well as discusses various surgical methods currently used.

关 键 词：后Pilon骨折 致伤机制 分型 

分 类 号：R683.42[医药卫生—骨科学]