胫骨Pilon骨折20例临床分析

DIAGNOSIS AND TREATMENT OF TIBIAL PILON FRACTURE

目的:探讨胫骨Pilon骨折的诊断与治疗方法。方法:对我院2003-05~2005-05收治20例胫骨Pilon骨折病人,根据骨折类型,分别采用不同手术方法治疗。结果:20例病人均获得随访,随访时间1a^3a,平均25mo。20例病人13例切开复位钢板内固定术,5例行外固定架固定术,2例行踝关节融合术,根据AOFAS评定标准对踝关节评分:优16例;良2例;可2例。优良率90%。Ⅰ型6例评分92±2.6分,Ⅱ型10例,9例评分93±1.7分;1例评分70分。Ⅲ型4例,3例评分90±2.1分,1例评分70分。结论:胫骨Pilon骨折需早期及正确诊断,根据骨折类型、程度及时有效地采取恰当手术治疗,可以获得关节解剖复位,恢复下肢力学轴线,保持关节稳定,达到骨折愈合和重获一个有功能无疼痛,能负重,可运动的关节,避免感染和创伤并发症发生。

Objective: To inquire into the diagnosis and treatment of tibial pilon fracture.Methods: According to the types of fractures,different operation ways were used to treat 20 patients of pilon fracture from May,2003 to May,2005 in our hospital.Results: The following up period was 1 to 3 years,an average of 25 months,and all the patients achieved.13 patients cut the joints and put some internal fixation of plates into it to make it recovered normally.5 cases were performed with external fixation in fixed frame,...