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后外侧联合内踝后侧入路内固定治疗后Pilon骨折 被引量:6

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摘要 目的探讨后外侧入路联合内踝后侧入路内固定治疗后Pilon骨折的临床疗效。方法回顾性分析自2012-01—2017-01采用踝关节后外侧入路联合内踝后侧入路切开复位内固定治疗的31例后Pilon骨折。骨折按俞光荣分型:Ⅰ型3例,Ⅱ型19例,Ⅲ型9例,均合并外踝骨折。结果 31例均获得随访,随访时间平均26(18~36)个月。术后采用Burwell-Charnley标准评估骨折复位质量,27例(Ⅰ型3例,Ⅱ型17例,Ⅲ型7例)X线片显示骨折均解剖复位,且随访期间无复位丢失;4例(Ⅱ型2例,Ⅲ型2例)骨折复位可,X线片显示内踝仍有双皮质骨块影。骨折愈合时间平均14(11~24)周。末次随访时踝与后足功能AOFAS评分为80~95分,平均84.5分;其中优17例,良9例,可5例。结论采用踝关节后外侧入路联合内踝后侧入路内固定治疗后Pilon骨折时,后外侧入路可以充分显露后踝外侧骨块及外踝骨折,内踝后侧入路可以充分显露内踝前丘和后踝后内骨块,骨折在直视下可获得良好的复位及可靠固定。
出处 《中国骨与关节损伤杂志》 2020年第12期1316-1318,共3页 Chinese Journal of Bone and Joint Injury
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