胫骨Pilon骨折分型现状

Current classification of tibial Pilon fracture

累及胫骨远端关节面的骨折称为Pilon骨折,常伴有不同程度的压缩与嵌顿,75%~85%合并有腓骨骨折和下胫腓关节分离,术后也不同程度地影响踝关节的功能。理想的骨折分型方式能够指导临床手术及学术交流。目前较广泛应用的分型方式以AO/OTA分型和Rüedi-Allg?wer分型为主,但这两种主流分型较为简单,并不能很好地指导临床治疗与术后康复。一直以来学者们都在努力研究,希望提出一个能被广泛接受的理想的分型,既能用于指导临床手术和预后,也能提供文献报道和学术交流的方式。本文对胫骨Pilon骨折分型的研究进展作一综述,以供临床参考。

Tibial Pilon fracture means distal tibial fracture involving the articular surface, which inordinately accompanied with compression and incarceration. In general, 75 to 85 percent of the tibial Pilon fractures follow with the fibula fracture and inferior tibiofibular syndesmotic disruption, which to a varying extent will affect the range of ankle motion. Ideal fracture classifi- cation can guide clinical surgery and academic communication. Nowadays AO/OTA classification and Ruedi-Allgower classifi- cation take priority in clinical setting, which are relatively simple, however, do not give effective guidance for surgical procedure and postoperative rehabilitation. All this time scholars have been trying to propose a new classification that not only can be used to guide clinical surgery and prognosis, but also facilitate the literature and academic communication. This paper aims to review the recent researches on classification of tibial Pilon fracture to provide clinical references.