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锁定板外置治疗Pilon骨折 被引量:3

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摘要 [目的]探讨锁定板外置治疗Pilon骨折的临床疗效。[方法]2009年3月~2011年12月本院收治Pilon骨折13例,其中,男11例,女2例;年龄26~63岁,平均37.5岁,左侧8例,右侧5例;致伤原因:高处坠落伤6例,交通伤5例,运动伤2例。骨折按Rüedi-Allgwer分型:Ⅱ型7例,Ⅲ型6例。开放骨折5例,其中GustiloⅠ型3例,Ⅱ型2例。合并同侧腓骨骨折4例,脊柱骨折和股骨干骨折各2例,髋臼骨折1例,上肢骨折1例,颅脑损伤1例。手术方法均采用胫腓骨远端解剖锁定板不超越踝关节外置治疗。[结果]13例患者随访12~21个月,平均随访时间15.8个月。1例患者出现钉道感染,经络合碘或75%酒精加强局部消毒后感染控制骨折愈合。本组患者未出现骨折固定后再移位,螺钉无断裂、松动或进入关节间隙等并发症。末次随访时,踝关节功能Mazur评分平均(89.45±7.21)分,优7例,良4例,可2例。[结论]采用胫腓骨远端解剖锁定板外置治疗pilon骨折能有效促进骨折愈合,预防关节僵硬、减少早期并发症、固定可靠。
出处 《中国矫形外科杂志》 CAS CSCD 北大核心 2013年第8期832-835,共4页 Orthopedic Journal of China
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参考文献16

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