胫骨Pilon骨折的手术治疗

目的回顾性分析治疗胫骨Pilon骨折的手术方法及其疗效。方法我院骨伤科2002年9月～2009年10月间手术治疗Pilon骨折患者58例,均获得随访。45例行切开复位胫骨远端解剖钢板内固定;13例行有限切开内固定并辅以外固定,其中应用外固定支架者5例。结果采用Mazur评分系统评估手术疗效,优26例;良26例;可4例;差2例;优良率89.7%。结论根据骨折类型,正确选择手术时机和合适的固定方式是治疗Pilon骨折取得良好效果的关键。

Operative treatment of tibia Pilan fracture

Objective To retrospectively analyze the operative method and the outcome of tibia Pilon fracture.Methods 58 patients with tibia Pilon fracture operatively treated between 2002.9 and 2009.10 were followed up.According to the Ruedi-Allguwer classification.During operation,45 patients had the fractures reduced and internal fixation was done with the tibia distal end dissected plate.13 patients had limited open reduction and internal fixation coupled with external fixation,which included 5 patients with the external fixation apparatus.Results According to Mazur criterion,the result of the treatment was evaluated as excellent in 26 patients,good in 26 patients ,fair in 4 patients and poor in 2 patients.Conclusion In order to get a satisfactory result it is important to have the right choice and timing of surgery and correct method of fixation in tibia Pilon fractures.