Pilon骨折手术治疗方法的选择  

Choice of Different Operations on Tibial Pilon Fractures

作　　者：王力[1] 张朝春[2] 徐皓[2] 

机构地区：[1]福建中医学院骨伤系,博士生福建福州350003 [2]南京军区福州总医院骨科

出　　处：《解剖与临床》2004年第1期37-39,共3页Anatomy and Clinics

摘　　要：目的 :探讨Pilon骨折手术治疗方法。方法 :根据骨折类型及软组织条件分别选择切开复位内固定、有限切开复位内固定结合外固定的手术治疗方法 ,治疗 36例病人。结果 :随访 6～ 2 4个月 ,按Helfet疗效评价标准 ,本组总优良率为 86 .1% (31 36例 ) ,其中Ⅰ型骨折获优良者 3 3例 ,Ⅱ型骨折 15 16例 ,Ⅲ型骨折 13 17例。结论 :根据骨折类型及软组织条件 ,采用“个性化”原则 ,分别选择不同的治疗及手术方法是取得Pilon骨折满意疗效的关键。Objective:To evaluate the operation methods of tibial Pilon fractues.Methods:Thirty-six patients were treated with open reduction and internal fixation,and limited open reduction and internal fixation combined with external fixation accoding to different types of fractures and soft tissues injured.Results:The followed-up period was varied from six to twenty-four months.The clinical outcome were evaluated on the basis of Helfet criterion.31/36 cases had good or excellent results among them were 3/3 Ruedi-Allgower type Ⅰ patients,15/16 type Ⅱ patients and 13/17 type Ⅲ patients had good or excellent results.Conclusion:The clinical outcome to tibial Pilon fractures is to choice a proper operative treatment according to the different types of fractures and soft tiisues injured and put into effect the principle of 'individualization'.

关 键 词：PILON骨折 手术治疗 外固定术 内固定术 手术方法 

分 类 号：R687.3[医药卫生—骨科学]