高能量Pilon骨折临床研究进展  

Clinical research progress of high-energy Pilon fracture

作　　者：李硕 刘锐 孙海钰[2] 王东[2] 卫小春[2] 颜维舜 陈真 邓银栓 LI Shuo;LIU Rui;SUN Hai-yu;WANG Dong;WEI Xiao-chun;YAN Wei-shun;CHEN Zhen;DENG Yin-shuan(Department of Orthopedic Trauma,Gansu Maternal and Child Health Care Hospital,Lanzhou,Gansu,730000,China)

机构地区：[1]甘肃省妇幼保健院创伤骨科,兰州730000 [2]山西医科大学第二医院骨科,太原030000

出　　处：《中国骨与关节杂志》2022年第4期287-291,共5页Chinese Journal of Bone and Joint

基　　金：应用基础研究项目(CWH17J007)。

摘　　要：Pilon骨折是累及胫骨远端关节面及干骺端的骨折,往往由高能量的垂直暴力所致,部分伴有扭转暴力。而传统所说的踝关节骨折往往是由低能量的扭转暴力造成的骨折,这就决定了Pilon骨折从损伤机制、暴力大小、骨折类型、软组织损伤程度到治疗的特点、难度和预后均与普通踝关节骨折不同。Pilon骨折占所有下肢骨折患者总人数的1%,占胫骨骨折的5%左右,其中约10%~30%的Pilon骨折为开放性或合并严重的皮肤挫裂伤.Pilon fracture involves distal tibia and tibial articular surface,which is often caused byhigh-energy vertical violence.It is common in clinic,and its incidence is on the rise in recent years.High-energy Pilon fractures are often comminuted and compacted due to high traumatic violence,which is often associated with severe soft tissue loss around the distal tibia.Therefore,its treatment is difficult with serious complications.Surgical treatment is usually applied.Meanwhile,the concept of its treatment has been developing continuously in recent years so that people’s understanding of it has been renewed.This article reviews the research status and progress in the mechanism,classification,diagnosis and treatment of high-energy Pilon fracture.

关 键 词：创伤和损伤 胫骨骨折 外科手术 综述 

分 类 号：R683.4[医药卫生—骨科学]