后Pilon骨折的诊疗进展

Progress in diagnosis and treatment of posterior Pilon fracture

后Pilon骨折是一种特殊类型的踝关节骨折,其以胫骨远端后方较大骨块、关节软骨面骨折压缩、胫距关节半脱位为典型特征。由于后Pilon骨折的发病率低,临床医师对其认识时间短,相关临床研究病例较少,易出现漏诊或被误诊为传统三踝骨折或后踝骨折,从而导致治疗效果不佳。本文就后Pilon骨折的损伤机制、临床分型、诊断标准、内固定方式、并发症与预后作一综述。

Posterior Pilon fracture is a special type of ankle fracture characterized by large,massive bones posterior to the distal tibia,compression of the articular cartilage surface fracture,and subluxation of the tibial joint.Due to the low incidence of posterior Pilon fractures,the short time of understanding of them by clinicians,and the few related clinical study cases,it is prone to miss diagnosis or be misdiagnosed as a traditional three-ankle fracture or posterior malleolus fracture,resulting in poor treatment effect.This paper reviews the injury mechanism,clinical classification,diagnostic criteria,internal fixation method,complications and prognosis of posterior Pilon fractures.