解剖锁定钢板治疗复杂Pilon骨折疗效分析

Curative Effect of Treating Complex Pilon Fractures with Anatomic Locking Plate

观察解剖锁定钢板治疗复杂Pilon骨折临床效果。方法：对84例复杂Pilon骨折采用解剖锁定钢板治疗,观察骨折愈合情况、并发症、踝关节功能评分。结果：患者均获12~24个月随访,平均18个月,所有患者骨折均愈合,未出现骨折延迟愈合及骨不连。Mazur评价标准：优60例、良28例、可6例。结论：采用解剖锁定钢板治疗复杂Pilon骨折临床效果满意,是切开复位内固定复杂Pilon骨折的理想选择。

To explore the clinical therapeutic effect of anatomic locking plate in the treatment of com- plex Pilon fracture.Methods： 84 patients suffered from complex Pilon fractures were treated by anatomic locking plate. The clinical data such as fracture union, complication and Mazur score were retrospectively studied. Results： All the patients were followed up for 12 to 24 months, averaged 18 months. All cases obtained synostosis and no de- layed union and none-union occurred. According to Mazur scoring, of the 84 cases, there were 60 cases belonging to excellent, 20 the good,and 6 the fair. Conclusion： The effect of anatomic locking plate in the treatment of complex Pilon fractures is satisfied, and it is an ideal choice for open reduction and fixation for complex Pilon fracture.