Pilon骨折内翻畸形愈合与不愈合的治疗

Treatntent for the Varus Malunion and Nonunion of the Pilon Fracture

目的 :报道采用二期截骨、植骨 (髂骨或人工骨 )内固定治疗Pilon骨折内翻畸形愈合、不愈合的经验。方法 :二期截骨、植骨 ( 7例人工骨植骨 ,18例取髂骨植骨 )、固定 (“T”形板 ,普通钢板 ,Link解剖钢板 )、早期功能锻炼。结果 :术后随访 7～ 2 6个月 ,优良率 96 %。结论 :采用二期截骨、植骨、“T”形板 ,普通钢板、解剖钢板固定、术后早期功能锻炼是治疗Pilon骨折内翻畸形愈合、不愈合的理想方法。

Objective: To report the effect of treatment for the varus malunion and nonunion of the Pilon fractures by a two-staged osteotomy, bone grafting and internal fixation. Methods: Twenty-five cases of varus malunion and nonunion Pilon fractures were treated by osteotomy and bone grafting (artificial bone, autograft bone ilia ) between 1996.7～2001.12, therapeutic effect were followed up by the way of postoperative objective, subjective and X-ray. Results: All patients were followed up for 7～26 months .These fractures healed up and the function of ankle joint excellent and good rate was 96%,satisfactory reduction were obtained. Conclusions: It is one of the ideal methods to treat Pilon fractures complication of varus malunion and nonunion by a two-staged osteotomy, bone grafting.and internal fixation.