检索历史 清除

目的 探讨不同类型Pilon骨折的手术时机、手术方法及其疗效.方法 2006年1月至2009年12月我院对收治的32例Ruedi-Allgower分型Ⅱ型、Ⅲ型单侧Pilon骨折患者进行随访,平均年龄38岁,伤后至手术时间平均6.5 d.骨折类型:Ⅱ型21例、Ⅲ型11例.7例行切开复位胫骨远端解剖板内固定,21例行胫骨解剖板+腓骨固定;3例行胫骨内侧支撑板+胫骨解剖板+腓骨固定,1例行有限切开内固定并辅以外固定.结果 术后平均随访22.3个月.采用Mazur评分系统评估手术疗效,优10例,良15例,可4例,差3例,优良率78%.结论 把握手术时机,根据骨折类型和软组织条件灵活选择固定方式是取得良好手术效果的关键.

Objective To evaluate timing of surgery,the choice of operative method and the outcome of tibia Pilon fracture.Methods Thirty-two patients with unilateral tibia Pilon fracture operatively treated between 2006 to 2009 were followed up.The average age was 38 years.The average period between injury and surgery was 6.5 days.According to the ruedi-A1lgwer classification,there were 21 cases of type Ⅱ fracture and 11 cases type Ⅲ fracture.During operation,we selected the fixation by the types of fractiure.Results The average period of follow-up was 22.3 months.According to Mazur's criteria,the result was evaluated as excellent in 10 cases,good in 15 cases,fair in 4 cases and poor in 3 cases.Conclusion The key points for a successful operation are right procedure and timing of surgery,selecting the manner of fixation by fracture types and soft tissue injury.