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AO技术治疗Pilon骨折(附46例报告)
引用本文:李旭,蔡俊丰,李增春,尹峰,彭庄,徐根宝.AO技术治疗Pilon骨折(附46例报告)[J].中国矫形外科杂志,2003,11(18):1244-1246.
作者姓名:李旭  蔡俊丰  李增春  尹峰  彭庄  徐根宝
作者单位:上海市东方医院骨科,上海市,200120
摘    要:目的:评价AO技术治疗Pilon骨折的临床疗效。方法:自1995年7月~2002年6月应用AO技术对46例Pilon骨折行切开复位,支撑钢板及螺钉内固定治疗。术后随访0.5-7年,按Mazur标准进行功能评价。结果:46例患者总优良率84%,其中C1型20例,O2型15例,Q型4例。7例发生切口感染,8例出现创伤性踝关节炎。结论:临床治疗效果与骨折类型及治疗方法有关,运用AO技术治疗Pilon骨折可以取得满意的疗效。

关 键 词:胫骨骨折  内固定  植骨
文章编号:1005-8478(2003)18-1244-03
修稿时间:2003年1月27日

Treatment of Pilon Fracture of the Tibia with AO Technique
LI Xu,CAI Jun-feng,LI Zeng-chun,et al..Treatment of Pilon Fracture of the Tibia with AO Technique[J].The Orthopedic Journal of China,2003,11(18):1244-1246.
Authors:LI Xu  CAI Jun-feng  LI Zeng-chun  
Institution:LI Xu,CAI Jun-feng,LI Zeng-chun,et al. Orthopedic Department,Affiliated Dongfang Hospital,Tongji University,Shanghai 200120
Abstract:Objective:To evaluate the value of AO technique for treatment of Pilon fractures. Methods:Forty-six Pilon fractures were treated with open reduction and internal fixation of shoring plate and screw with AO technique from July 1995 to June 2002, the followed-up periods were varied from0. 5-7 years. The results of treatment were evaluated as Mazur's method. Results: In the 46 cases, 84 % of them were satisfactory, and 20 in type C1 , 15 in type C2,4 in type C3. 7 cases with incisions infection,8 cases with traumatic arthritis. Conclusion:The clinical outcome are affected by the clinical type of the fracture and the method, the result is satisfactory using AO technique.
Keywords:Tibia fracture  Internal fixation  Bone graft  
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