手术治疗16例Pilon骨折

Operational Treatment of 16 Cases Pilon Fracture

目的探讨胫骨Pilon骨折的适宜手术、手术时机及疗效和有关并发症的防治。方法对2001～2008年手术治疗的16例Pilon骨折患者进行随访,所有患者经过16～22个月随访,骨折根据Rudi-Allgower分型,Ⅱ型12例,Ⅲ型4例。结果按照Mazur评分系统,优6例,良6例,可3例,差1例,总优良率75%。术后并发症创面延迟愈合2例,关节退性性改变2例,结论影响Pilon骨折预后因素较多,正确选择手术时机、根据骨折类型选择内固定方法是取得良好手术效果的关键。

Objective To investigate the treatment of Pilon fracture,and its outcome,preserve its complication.Metholds 16 patients with Pilon fractures were treated with plate osteosyntnesis from 2001-2008.According to the Ruedi-Allgower classification,there were type Ⅱ fracture in 12 cases,type Ⅲ fracture in 4 cases.All patients were follow up 16-22 for months.Results According to the Mazur,criterion system,the outcome were excellent in 6 cases,good in 6 cases,poor in 3 cases and fair in 1 patient.The excellent and good rate was 75%.Conclusion It is important to have the right choice in timing of suregery and correct method of fixation in Pilon fractures for a satisfactory result.