探讨闭合复位外固定架牵张固定治疗指骨Pilon骨折的疗效

Effects of closed reduction external fixator with a fixed treatment for phalanx Pilon fracture

目的对闭合复位外固定架牵张固定治疗指骨Pilon骨折的安全性进行分析和探讨,为临床提供一定参考。方法选取2012年10月—2014年10月期间,采用闭合复位外固定架牵张固定进行治疗的32例指骨Pilon患者,把这些患者作为此次试验的样本,抽调患者的手术资料开展回顾研究,观察患者取得的手术成效。结果手术结束之后,本次抽取的患者其骨折情况均有所好转,部分患者在术后4个星期后开始拆除外固定架,骨折开始愈合,患者手指在固定期间,没有出现感染,通过手指关节总活动度标准对患者的手指功能进行评定,优18例,良10例,一般2例,差2例,优良率为87.5%。结论针对指骨Pilon骨折患者的治疗,采用闭合复位外固定架牵张固定方法,可使骨折伤者的受伤关节得到修复,逐步恢复原有功能,值得临床推广应用。

Objective To investigate the effects of closed reduction external fixator with a fixed treatment for phalanx Pilon fracture. Methods Thirty-two cases of phalanx Pilon fracture undergoing closed reduction external fixator with a fixed treatment in our hospital between October 2012 and October 2014 were selected,and the treatment effects were retrospectively analyzed. Results After operation,the fracture situation was improved,and some patients removed the external fixator 4 weeks after fracture. The fracture started to heal,and no infection occurred during fixation period.The finger function was evaluated according to total angle of motion,and it was revealed that 18 cases were excellent in finger function,10 cases were good,2 cases were normal,2 cases were poor,and the excellent and good rate was 87.5%.Conclusion For patients with phalanx Pilon fracture,closed reduction external fixator with a fixed treatment can repair injured joints and gradually recover function. The procedure is worthy of application.