| 经改良后内侧入路支撑钢板内固定治疗后Pilon骨折 |
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| 引用本文： | 解冰,田竞,周大鹏,薛海鹏,杨超,张昊,田帅,王源伟,胡汉.经改良后内侧入路支撑钢板内固定治疗后Pilon骨折[J].中国骨伤,2018,31(7):656-660. |
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| 作者姓名： | 解冰 田竞 周大鹏 薛海鹏 杨超 张昊 田帅 王源伟 胡汉 |
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| 作者单位： | 沈阳军区总医院骨科 |
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| 基金项目： | 2014年全军后勤重大项目（编号：AWS14C003） |
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| 摘 要： | 目的:探讨采用改良后内侧入路支撑钢板固定治疗后Pilon骨折的临床疗效。方法:自2014年7月至2015年1月手术治疗10例后Pilon骨折患者,其中男3例,女7例,年龄31～54岁。根据俞光荣等提出的后Pilon骨折分型,Ⅰ型1例,Ⅱ型3例,Ⅲ型6例。所有患者采用改良后内侧入路支撑钢板内固定治疗。记录患者术后并发症、骨愈合及复位情况,并予术后1年采用美国足踝外科协会(American Orthopedic Foot and Ankle Society,AOFAS)踝与后足功能评分评价临床疗效。结果:10例患者均获随访,时间12～18(14.1±3.2)个月。患者术后切口均Ⅰ期愈合,无切口感染、血管神经损伤及屈肌腱挛缩发生。术后根据Burwell-Charnley影像学评价标准判定骨折复位,后踝解剖复位8例,复位良好2例。所有骨折均获得愈合,时间12～16(13.2±1.8)周。术后1年根据AOFAS评分评定临床疗效,优8例,良2例。患者术后3～6(4.7±1.4)个月重返原工作岗位。结论 :改良后内侧入路支撑钢板固定治疗后Pilon骨折临床疗效肯定,并发症少,患者可以早期负重功能锻炼。
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| 关 键 词： | 胫骨骨折 骨折内固定术 内 外科手术 |
| 收稿时间： | 2017/8/18 0:00:00 |
Clinical outcomes of buttress plating in treating posterior Pilon fractures through modified posteromedial approach |
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| XIE Bing,TIAN Jing,ZHOU Da-peng,XUE Hai-peng,YANG Chao,ZHANG Hao,TIAN Shuai,WANG Yuan-wei and HU Han.Clinical outcomes of buttress plating in treating posterior Pilon fractures through modified posteromedial approach[J].China Journal of Orthopaedics and Traumatology,2018,31(7):656-660. |
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| Authors: | XIE Bing TIAN Jing ZHOU Da-peng XUE Hai-peng YANG Chao ZHANG Hao TIAN Shuai WANG Yuan-wei and HU Han |
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| Institution: | Department of Orthopaedics, Shenyang Military Region General Hospital, Shenyang 110016, Liaoning, China,Department of Orthopaedics, Shenyang Military Region General Hospital, Shenyang 110016, Liaoning, China,Department of Orthopaedics, Shenyang Military Region General Hospital, Shenyang 110016, Liaoning, China,Department of Orthopaedics, Shenyang Military Region General Hospital, Shenyang 110016, Liaoning, China,Department of Orthopaedics, Shenyang Military Region General Hospital, Shenyang 110016, Liaoning, China,Department of Orthopaedics, Shenyang Military Region General Hospital, Shenyang 110016, Liaoning, China,Department of Orthopaedics, Shenyang Military Region General Hospital, Shenyang 110016, Liaoning, China,Department of Orthopaedics, Shenyang Military Region General Hospital, Shenyang 110016, Liaoning, China and Department of Orthopaedics, Shenyang Military Region General Hospital, Shenyang 110016, Liaoning, China |
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| Abstract: | |
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| Keywords: | Tibial fractures Fracture fixation internal Surgical procedure operative |
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