摘要
目的探讨胫骨Pilon骨折手术治疗的方法、疗效及并发症的防治。方法我院于1999年至2004年间,共收治胫骨Pilon骨折42例,按照Riledi-Allgfiwer分型Ⅰ型5例,Ⅱ型22例,Ⅲ型15例。Ⅰ型均行螺钉或踝部支持钢板固定,Ⅱ型采用切开复位三叶草形钢板内固定,Ⅲ型采用有限内固定结合外支架治疗。结果所有患者获得随访,平均随访18个月（12-30个月）,临床疗效参照Helfet的评定标准判定,优良率88.1%。结论胫骨Pilon骨折手术治疗疗效肯定,选择适当手术时机,正确合适的手术方式方法,可以降低并发症,提高疗效。
Objective To approach the surgical technic and effect in treatment of the tibial Pilonfractures. Methods From 1999 to 2004, Forty - two patients with fractures of tibial Pilon were hospitalized. According to Riledi - Allgfiwer classification ,5 cases were type Ⅰ ,22 cases were type Ⅱ , and 15 cases were type Ⅲ. Fratures of type Ⅰ were treated with screws and plates; andfiatures of type Ⅱ were treated with open reduction and internal fixation with plates of cloverleaf pattern ; and fiactures of type Ⅲ were treated with limited internal fixaion and external branch. Results All cases were followed up for 18 monthes, rangedfiom 12 to 30 months. Accorrding to helfet effect evaluation system, the fine rate was 88.1%. Conclusion In treatment of tibial Pilon fractures, appropriate operative time and suiyable modus operandi should be chosed, which would cut dawn complications and elevate curative effect.
出处
《河南外科学杂志》
2008年第3期5-6,共2页
Henan Journal of Surgery
