有限内固定结合外固定支架治疗Pilon骨折

Limited internal fixation combined with external fixation in the treatment of Pilon frature

目的探讨有限内固定结合外固定支架治疗胫骨Pilon骨折的临床疗效.方法采用有限内固定结合外固定支架治疗Pilon骨折14例.根据Ruedi-Allgower骨折分型:Ⅰ型3例,Ⅱ型5例,Ⅲ型6例.按Teeny踝关节功能评分标准进行疗效评价.结果全部病例获得随访,随访时间6个月～5年,平均4.1年;骨折愈合时间6～24周(平均10.5周).踝关节功能评分,优9例、良2例、可2例、差1例.结论采用有限内固定结合外固定支架治疗Pilon骨折,能减少并发症并获得较好疗效.

Objective To analyze the effect of external fixation combined with limited internal fixation for Pilon fractures. Methods 14 cases of Pilon fractures were treated by external fixation and limited internal fixation. According to Ruedi-Allgower classification, the fractures were classified as type Ⅰ in 3 cases, type Ⅱ in 5, type Ⅲ in 6. The final outcomes of treatment were evaluated based on clinical rating of ankle joint function. Results All cases were followed up for an average time of 4.1 years. All fractures healed in an average time of 10.5 weeks. According to the ankle score of Teeny, the results were excellent in 9 cases, good in 2, fair in 2 and poor in 1. Conclusions External fixation combined with limited internal fixation has some advantages of fewer complications and good function recovery in the treatment of Pilon fracture.