Pilon骨折手术治疗的临床研究

Clinical Studies of the Surgical Treatment of Pilon Fracture

目的：探讨手术切开复位内固定治疗Ⅱ、Ⅲ型Pilon骨折的治疗效果。方法：自2010年1月-2013年1月我院共收治pilon骨折患者33例,其中对19例Pilon骨折患者进行术后平均1年的随访。结果：按Helfet踝关节功能评定标准：13例Ⅱ型损伤的病人中,优良率84%,Ⅲ型损伤的6例中,优良率62%,总优良率为78%。术后骨折复位影像学标准解剖复位12例,复位一般6例,复位差1例。骨折全部愈合,愈合时间12周～52周,平均15.2周,其中骨折延迟愈合3例。结论：采用切开复位内固定治疗Pilon骨折疗效确切,是一种较好的治疗措施。

Objective：To explore the efficacy of treatment for open reduction and internal fixation of type Ⅱ, Ⅲ Pilon fracture . Methods： From January 2010 to January 2013 in our hospital were treated in 33 patients with pilon fractures, including to average 1-year follow-up of 19 patients with Pilon fracture patients after the operation. Results： by the Helfet assessment standards of ankle function ：13 cases of Type Ⅱ injury patients, 84% excellent rate, Ⅲ injury in 6 cases, 62% good, the excellent and good rate of 78percent. The outcone of imaging standard of Postoperative fracture reduction： 12 cases were anatomical reduction,6cases were functional reduction and one case was poor. The healing-time ranged from 12 to 52weeks,with a mean time of 15.2 weeks.Delayed union occurred in three cases.Conclusion：Open reduction and internal fixation for the treatment of Pilon fractures, it is a better therapeutic measures.