胫骨远端前外侧解剖钢板内固定治疗Pilon骨折42例疗效观察

Effect of tibia distal anterolateral anatomic plates for treatment of Pilon fracture

目的:探讨胫骨远端前外侧解剖钢板内固定治疗pilon骨折的临床疗效。方法:自2003年5月～2008年5月,采用胫骨远端前外侧解剖钢板治疗42例pilon骨折患者。Ruedi-Allgower分型:Ⅰ型7例,Ⅱ型22例,Ⅲ型13例。结果:42例均获随访,平均随访13(8～19)个月,参照Mazur踝关节症状与功能评分系统,优26例,良11例,可4例,差1例。优良率88%。骨折全部愈合。结论:胫骨远端前外侧解剖钢板是治疗pilon骨折的理想内固定物,选择合适的手术时机及术后早期功能锻炼是满意疗效的保证。

Objective：To investigate the methods of treatment for Pilon fracture by tibia distal anterolateral anatomic plates.Methods：Forty-two cases of Pilon fractures were treated by operation from May 2003 to May 2008. All cases including 7 cases of type I ,22 cases of type H and 13 cases of type m according to Ruedi-Allgouller classification were treated through open reduction internal fixation with tibia distal anterolateral anatomic plates.Results：All of 42 cases were followed up from 8 to 19 months, among them,26 cases excellent, 11 cases good ,4 cases moderate and 1 case bad, evaluated by Mazur functional criteria.Conclusion ：The tibia distal anterolateral anatomic plates are perfect internal fixators for Pilon fracture. They should he combined with correct operative time selection and appropriate post-operative rehabilitation for ensuring satisfactory effects.