摘要
目的回顾性分析了治疗胫骨pilon骨折的适宜手术方法及手术疗效。方法对1990～2001年接受手术治疗的18例胫骨pilon骨折的患者进行随访。平均年龄35.4岁。骨折类型按Ruedi-Allgower分型,Ⅰ型4例,Ⅱ型9例,Ⅲ型5例。7例行切开复位拉力螺钉内固定,10例行切开复位1/3管型钢板内固定,1例行切开复位多枚克氏针内固定。术后平均随访28个月。结果采用Mazur评分系统评估手术疗效。18例患者,优12例,良3例,可3例。优良率83％。术后并发症主要是踝关节退行性变(3例)。
Objective To find the most suitable surgical method and it effectiveness by retrospctive analysis of oper- ative treatment of Pilon's fracture. Method From 1990 to 2001, 18 cases of Pilon's fracture were followed up after surgery. Their average age was 35.4.They were divided into three types according to Ruedi-Allgower Standard, including 4 cases of type Ⅰ, 9 cases of type Ⅱ and 5 cases of type Ⅲ. Among them, 7 cases were treated with open reduction and screw fixation; 10 cases with1/3 plate of papal fixation; 1 case with Ke's needle fixation. Average follew-up time was 28 months. Result Operative ettects were evaluated with Mqzur scoe system. Of 18 cases, 12 cases were excellent, 3 cases good, 3 eases general. The main complication after operation was the degeneration of ankle joint. Conclusion The key factor to reach a good therapeutic effect is to choose the method of fixation on the bases of the types of fracture and itds condition.
出处
《基层医学论坛》
2003年第4期297-298,共2页
The Medical Forum
关键词
胫骨骨折
胫骨内固定术
内钢板
tibial fracture
frtacture fixation
internal plate
