摘要
目的：探讨切开复位内固定治疗Pilon骨折的临床疗效。方法：42例Pilon骨折病例，术前依据Rüedi—Allgüwer分型；Ⅰ型7例，Ⅱ型23例，Ⅲ型12例。均采用切开复位，钢板和螺钉内固定术。结果：术后随访6～38个月，平均14个月。依据Mazur踝关节评分系统评定疗效：优21例，良14例，可5例，差2例；优良率为87％。结论；正确的选择手术时机、术中良好的复位和坚强的内固定是治疗Pilon骨折的关键。
Objective：To evaluate the effects of interal fixation in the treatment of Pilon fractures. Methods：42 cases with tibial Pilon fracture operatively treated were reviewed and analyzed, According to Rüedi-Allgüwer classification system,there were 7 cases of type Ⅰ fracture , 23 cases of type Ⅱ fracture,and 12 cases of type Ⅲ fracture. Results ：All the cases were followed up for 6 to 38 months, 14 months on average. According to Mazur standard, 21 cases were rated as excellent,14 cases as good,5 cases as fair and 2 cases as poor. The excellent and good rate was 87%. Conclusion ：Good timing of surgery ,anatomical reduction of joint surface and stable interal fixation are effective methods to improve the clinical results of tibial Pilon fractures.
出处
《临床医药实践》
2006年第12期904-905,共2页
Proceeding of Clinical Medicine
