有限内固定结合外固定治疗高能量胫骨Pilon骨折

首都医科大学学报 ›› 2010, Vol. 31 ›› Issue (1): 126-128.

有限内固定结合外固定治疗高能量胫骨Pilon骨折

刘凤岐, 鲁英

首都医科大学附属北京友谊医院骨科

收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2010-02-21 发布日期:2010-02-21

Treatment of Pilon Fractures Caused by Great Power with Limited Internal Fixation Combined External Fixator

LIU Feng-qi, LU Ying

Department of Orthopaedic Surgery, Beijing Friendship Hospital, Capital Medical University

Received:1900-01-01 Revised:1900-01-01 Online:2010-02-21 Published:2010-02-21

摘要/Abstract

摘要：

目的探讨Rüedi-Allgower Ⅲ型Pilon骨折的术前准备、手术时机和手术方法的效果。方法 1997年1月至2005年8月收治的Ⅲ型Pilon骨折患者23例，年龄24～65岁，平均年龄36.8岁。其中开放性骨折3例，闭合性骨折20例。采用外固定架结合有限内固定治疗。结果术后随访10～63个月，平均34个月。按Mazur评分标准，治疗效果优8例，良11例，中2例，差2例，优良率为83%。结论对Rüedi-Allgower Ⅲ型Pilon骨折应做详细的术前准备，对软组织损伤应作正确评估，正确选择手术时机，行有限内固定结合外固定架治疗的方法有效可靠。

关键词: Pilon骨折, 有限内固定, 骨折外固定术

Abstract:

Objective To study the application of limited internal fixation combined external fixators in treating Pilon fractures caused by great power and observe its effect. Methods From January 1997 to August 2005, 23 cases of Pilon fractures caused by great power were treated with limited internal fixation combined with external fixators. Results Twenty-three cases were followed up for periods of ten months to five years and three months. According to the standards set by Mazur, et al, 83% of followed-up cases achieved excellent results when the function of the ankle joints was evaluated.Conclusion It was proved that limited internal fixation combined with external fixators is a safe and effective method in treating Pilon fractures caused by great power.

Key words: pilon fracture, limited internal fixation, external fixation

中图分类号:

R 681.8

刘凤岐;鲁英. 有限内固定结合外固定治疗高能量胫骨Pilon骨折[J]. 首都医科大学学报, 2010, 31(1): 126-128.

LIU Feng-qi;LU Ying. Treatment of Pilon Fractures Caused by Great Power with Limited Internal Fixation Combined External Fixator[J]. Journal of Capital Medical University, 2010, 31(1): 126-128.