摘要
目的:总结复杂pilon骨折的手术时机和不同治疗方法的临床效果及并发症的防治方法。方法:回顾性总结2001年8月至2007年11月收治的37例(41侧)Ⅲ型pilon骨折患者的手术时机、治疗方法及效果。结果:术后随访时间平均52.3个月。按Mazur评分标准评定:优13侧、良17侧、可7侧、差4侧,优良率为73%。术后共有发生手术伤口或创面愈合困难13侧,X线片示创伤性骨关节炎15侧,发生踝关节>10°的内翻畸形愈合3侧,骨折延迟愈合4侧。结论:影响复杂pilon骨折预后的因素很多,而选择合适的手术时机和治疗方法,是手术成功的关键。
Objective： To discuss the different treatment, timing of surgery and the prevention of complications on Pilon fracture. Methods： 37 patients and 41 sides tibia Pilon fracture between August 2001 and November 2007 were followed up. The average age was 37.4 years（range from 15 to 62 years）. The mechanism of injury were fall in 25 cases,traffic accident in 8 cases and other cause in 4 cases,14 eases （16 sides）were open fracture,23 cases （25 sides） were closed fracture, and 35 sides accompanied fibula fracture. About the tibia fracture, there were 20 sides fixation with plate,10 sides limited fixation with screw and Kirschner wire,5 sides with the external fixation apparatus and 6 sides had done arthrodesis. Results：The average period of follow-up was 52.3 months. According to Mazur＇s criterion,the result of the treatment was evaluated as excellent in 13 sides,good in 17 sides,fair in 7 sides and poor in 4 sides. After operation, complications included wound dehiscence in 13 cases, posttraumatic arthritis in 15 sides, varus of the ankle joint in 3 sides（〉 10°） and delayed union of tibia in 4 sides. Conclusions：There were a lot of factors to affect the prognosis of tibia Pilot fracture. It was very important to do operation with right method in timing of surgery.
出处
《中国冶金工业医学杂志》
2009年第3期267-268,共2页
Chinese Medical Journal of Metallurgical industry
关键词
PILON骨折
骨折固定术
Complicated pilon fracture
Fracture fixation
