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竹筏原理在Pilon骨折中的应用
引用本文:张满才,闻伟敬,崔海明.竹筏原理在Pilon骨折中的应用[J].基层医学论坛,2012,16(22):2897-2898,2993.
作者姓名:张满才  闻伟敬  崔海明
作者单位:1. 阳泉煤业集团第三医院,山西阳泉,045000
2. 孝义市人民医院,山西孝义,032300
摘    要:目的 总结利用竹筏原理,采用T 形锁定板和苜蓿钢板治疗Pilon 骨折的经验.方法 36 例Pilon骨折患者按Ruedi-Allgower 分型,达Ⅱ型19 例,Ⅲ型17 例,均采用切开复位,L 形锁定板或苜蓿钢板内固定术.结果 治疗后,临床疗效优良率80.6%,其中Ⅱ型达84.2%,Ⅲ型达76.5%.结论 利用竹筏原理,采用L 形锁定板或苜蓿钢板治疗Pilon 骨折,具有固定稳定性可靠,有利于骨折愈合和早期关节负重的优点,其远期疗效有待于进一步讨论.

关 键 词:Pilon骨折  内固定  竹筏原理  切开复位

Clinical observation on the application of bamboo rafting principle in Pilon fractures
Zhang Mancai , Wen Weijing , Cui Haiming.Clinical observation on the application of bamboo rafting principle in Pilon fractures[J].Public Medical Forum Magazine,2012,16(22):2897-2898,2993.
Authors:Zhang Mancai  Wen Weijing  Cui Haiming
Institution:1.1 The Third Hospital of Yangquan Coal Group,Yangquan,Shanxi 045000;2 The People’s Hospital of Xiaoyi City.Xiaoyi,Shanxi 032300
Abstract:Objective To sum up the application of bamboo rafting by using the theory of locking plate and t-shaped alfalfa Pilon fracture of the steel plate treatment experience.Methods 36 patients were trated with open reduction t.press Ruedi-Allgower points type: among them Ⅱ type(19 cases),Ⅲ type of 17 cases,L shape locking plate and alfalfa plate fixation.Results After treatment,clinical curative effect was 80.6%,among them Ⅱ type of 84.2%,Ⅲ type of 76.5%.Conclusion Using bamboo rafting theory and by locking plate and alfalfa L shape steel treatment Pilon fracture,has the fixed stability and reliable,which is beneficial to fracture healing and early joint the advantages of weight,the long-term effect into a fracture to discuss.
Keywords:Pilon fractures Internal fixation Bamboo rafting principle Open reduction
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