期刊文献+

胫骨Pilon骨折的手术方式选择与疗效 被引量:7

暂未订购
导出
摘要 目的讨论Pilon骨折术式选择及疗效。方法总结本院自2007年12月至2012年6月48例Pilon骨折的手术治疗效果,其中14例切开复位钢板内固定,26例有限切开内固定加石膏外固定,8例在固定腓骨后胫骨未行内固定,行石膏外固定术。结果所有患者均得到完整随访,随访时间12~30个月,平均18个月。疗效评价按Mazur评分,优23例,良15例,可8例,差2例。结论选择适宜的手术时机,根据骨折类型、软组织条件,灵活选择手术方式,实施个体化的治疗是取得良好疗效的关键。
出处 《实用骨科杂志》 2012年第9期832-833,共2页 Journal of Practical Orthopaedics
  • 相关文献

参考文献3

二级参考文献37

  • 1纪方,王秋根,张秋林,汪滋民,栗景峰,谭瑞星,王万宗,唐昊,汤旭日,李鹏.Pilon骨折的微创治疗[J].中华创伤骨科杂志,2005,7(3):225-229. 被引量:41
  • 2Bone L,Stegemann P,McNamara K,et al.External fixation of severely comminuted and open tibial pilon fractures.Clin Orthop Relat Res,1993(292):101-107.
  • 3Burwell HN,Charnley AD.The treatment of displaced fractures at the ankle by rigid internal fixation and early joint movement.J Bone Joint Surg (Br),1965,47(4):634-660.
  • 4Kitaoka HB,Alexander IJ,Adelaar RS,et al.Clinical rating systems for the ankle-hindfoot,midfoot,hallux,and lesser toes.Foot Ankle Int,1994,15(7):349-353.
  • 5Piper KJ,Won HY,Ellis AM.Hybrid external fixation in complex tibial plateau and plafond fractures:an Australian audit of outcomes.Injury,2005,36(1):178-184.
  • 6Golubovic Z,Macukanovic-Golubovic L,Stojiljkovic P,et al.External fixation combined with limited internal fixation in the treatment of pilon tibia fractures.Vojnosanit Pregl,2007,64(5):307-311.
  • 7Leung F,Kwok HY,Pun TS,et al.Limited open reduction and Ilizarov external fixation in the treatment of distal tibial fractures.Injury,2004,35(3):278-283.
  • 8Endres T,Grass R,Biewener A,et al.Advantages of minimallyinvasive reposition,retention,and Ilizarov-(hybrid)fixation for pilon-tibial-fractures fractures with particular emphasis on C2/C3 fractures.Unfallchirurg,2004,107 (4):273-284.
  • 9Rose R.Treatment of pilon fractures using the Ilizarov technique.Case reports and review of the literature.West Indian Med J,2002,51(3):176-178.
  • 10Scalea TM,Boswell SA,Scott JD,et al.External fixation as a bridge to intramedullary nailing for patients with multiple injuries and with femur fractures:damage control orthopedics.J Trauma,2000,48(4):613-623.

共引文献60

同被引文献47

  • 1俞光荣,汪文.Pilon骨折治疗方法的选择和疗效评价[J].中华骨科杂志,2007,27(2):149-155. 被引量:122
  • 2荣国威,刘沂.骨科内固定[M].第3版.北京:人民卫生出版社,1999.301.
  • 3BrwnerBO.SkeletalTrauma[M].天津:天津科技翻译出版公司,2007:2241-2242.
  • 4Tornetta PR,Weiner L,Bergman M ,et al. Pilon frac- tures., treatment with combined internal and exter- nalfixation [J]. J Orthop Trauma, 1993,7 (6) : 489- 496.
  • 5Borrelli JJ,Catalano L. Open reduction and internal- fixation of Pilon fractures [J]. J Orthop Trauma, 1999,13 (8) :573-582.
  • 6Howard JL, Agel J, Barei DP, et al. A prospectives- tudy evaluating incision placement and woundheal- ing for tibial plafond fractures[J]. J Orthop Trauma, 2008,22 (5) : 299-305 : 305-306.
  • 7Topliss CJ, Jackson M,Atkins RM. Anatomy of Pi- lonfractures of the distal tibia[J]. J Bone Joint Surg (Br), 2005,87 (5) : 692-697.
  • 8Mazur JM, Schwartz E, Simon SR. Ankle arthrodesis: long-term follow-up with gait analysis [J]. Bone Joint (Am), 1979, 61(7): 964-975.
  • 9Williams TM, Marsh JL, Nepola JV,et al. External fixation of tibial plafond fractures: is routine plating of the fibula necessary[J]. Orthop Tramma, 1998, 12(1): 16-20.
  • 10Milenkovi S, Mitkovi M, Mici I, et al. Distal tibial pilon fractures (AO/OTA type B,and C) treated with the external skeletal and minimal internal fixation method [ J]. Vojnosanit Pregl,2013,70 (9) :836-841.

引证文献7

二级引证文献19

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部