摘要
目的比较4种方法治疗高能量Pilon骨折的临床效果。方法将58例高能量Pilon骨折患者分为4组：Ⅰ组16例采用有限内固定治疗,Ⅱ组18例采用坚强内固定治疗,Ⅲ组10例采用有限内固定结合“T”形超关节外固定架治疗,Ⅳ组14例采用外固定支架结合有限内固定治疗。结果经10个月-3 a随访,Ⅰ组、Ⅱ组、Ⅲ组和Ⅳ组优良率分别为62%,78%,70%和93%。结论4种方法可用于高能量Pilon骨折的治疗,其中外固定支架结合有限内固定治疗法疗效较佳。
Objective It is to compare the clinical effect of four kinds of treatments for severe Pilon fractures. Methods 58 cases of patients with severe Pilon fractures were divided into four groups： group Ⅰ （16 cases） were treated with limited internal fixation, group Ⅱ （18 cases） with strong inter fixation, group Ⅲ （10 cases） with limited internal fixation with ＂T＂- shaped external fixator over-articular treatment, group Ⅳ of 14 cases with a combination of external fixation with limited internal fixation. Results All the patients were followed-up from 10 months to 3 years, and the excellent and good rates in group Ⅰ , Ⅱ ,Ⅲ and Ⅳ were 62 %, 78 %, 70 % and 93 % respectively. Conclusion The four different treatment protocols are appropriate for treatment of severe Pilon fractures after trauma, especially the combination of external fixation with limited internal fixation can get better outcomes than the other techniques.
出处
《现代中西医结合杂志》
CAS
2008年第34期5269-5270,5277,共3页
Modern Journal of Integrated Traditional Chinese and Western Medicine
关键词
PILON骨折
外固定
内固定
外固定支架结合有限内固定
Pilon fracture
external fixation
internal fixation
combination of external fixation with limited internal fixation
