解剖锁定钢板内固定治疗复杂性Pilon骨折

Internal fixation with locking anatomical plate on treatment of complex Pilon fracture

目的探讨解剖锁定钢板内固定治疗Ruedi-Allgower II、III型胫骨Pilon骨折的临床疗效。方法回顾分析2010年1月至2012年10月我科运用延期切开复位锁定解剖钢板内固定方法治疗Ruedi-Allgower II、III型Pilon骨折42例临床资料,采用Mazur等制定的踝关节症状与功能评分系统评定治疗效果。结果本组全部病例术后随访6～30个月。按Mazur评分标准:优16例,良20例,可4例,差2例,优良率85.7%。结论胫骨远端锁定解剖钢板内固定治疗胫骨远端Pilon骨折手术创伤小,稳定性好,骨折愈合率高,并发症少,关节功能恢复满意,是治疗Pilon骨折的有效措施。

Objective To evaluate the clinical effect of internal fixation with locking anatomical plate on the treatment of Ruedi -All-gower II and III Pilon fracture .Methods From January 2010 to October 2012 ,42 patients with Pilon fractures were treated with the the de-layed open reduction and fixation with locking anatomical plate .All cases were evaluated by Mazur score system .Results All the 42 patients were followed up for 6~30 months.Clinical effects were assessed by Mazur evaluating standard .16 cases were excellent ,20 cases were very good,4 cases were common and only 2 cases were poor.The excellent rate was 85.7%.Conclusion The internal fixation with locking ana-tomical plate on treatment of Pilon fracture has the advantage of small operation wound ,good stability ,high bone healing rate ,less complication and good recovery of ankle function .