目的 探讨多钢板夹持内固定治疗胫骨Pilon骨折的疗效。 方法 分析我院收治87例胫骨Pilon骨折患者资料，Ruedi-Allower分型：Ⅰ型11例，Ⅱ型51例，Ⅲ型25例，除Ⅰ型11例及Ⅲ型3例皮肤挫伤严重者，其余73例均采用手术多钢板夹持内固定治疗。 结果 随访时间6～16个月，平均7.66个月。骨折愈合时间12～19周，平均14周。术后踝关节Mazur评分标准：优51例，良17例，可5例，优良率为93%。伤口均未感染，踝关节功能好，无骨折延迟愈合、不愈合等并发症发生。 结论 多钢板治疗胫骨Pilon骨折符合AO内固定原则，因钢板薄、可塑性强，且螺丝钉细对骨折端的血运影响和骨质破坏较少，具有操作简单、创伤小、内固定可靠、可早期功能练习踝关节、术后并发症较少等优点，疗效满意。
Abstract
Objective To investigate the curative effect of the multi-plate capture internal fixation for tibial Pilon fracture Methods In this study, 87 patients with tibial Pilon fracture were enrolled. According to Ruedi-Allgower classification, there were 11 cases of type Ⅰ,51 cases of type Ⅱ, and 25 cases of type Ⅲ Except 11 cases of type Ⅰ and 3 cases of type Ⅱ with serious skin contusion, the other 73 cases all used multi-plate capture internal fixation. The postoperative function of the ankle joint was evaluated using Mazur criteria Results All the cases were followed up for 6-16 months (average 766 months). The healing time was 12 to 19 week(average 14 weeks). The results were excellent in 51 cases, good in 17 cases and fair in 5 cases according to Mazur’s criteria The excellent and good rate was 93% There was no wound infection, delayed fracture healing or nonunion. The function of the ankle joint was good in each case Conclusions Treating Pilon fractrure with multi-plate fixation accords with AO fixation principle Because the plate is thin, it has strong plasticity . The thin screw has little impact on blood circulation of the fracture ends or on bone quality. The advantage of this method lies in simple operation, fixation reliability, early functional exercise, little trauma and few postoperative complicationsThe effect is satisfactory
关键词
多钢板 /
夹持固定 /
胫骨Pilon骨折
Key words
multi-plate /
capture fixation /
tibial Pilon fracture
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参考文献
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