Pilon骨折36例治疗分析

目的: 探讨外固定支架结合有限内固定治疗Pilon骨折的疗效。方法: 以单臂三维支架或单臂T形Basitinni外固定支架、胫骨内侧支撑钢板或AO三叶型钢板作整体轴心固定,腓骨及局部骨块辅以简易内固定达到关节解剖对合治疗Pilon骨折36例。结果: 经4~60个月随访,36例骨折全部愈合,按Mazur功能评价标准,优良率达75%。结论: 外固定支架结合有限内固定治疗Pilon骨折具有手术操作简单、创伤小、可达到关节解剖对位、功能早期康复等优点。

Treatment of 36 patients with Pilon fracture

Objective: To investigate the results of the operative treatment of Pilon fracture by using the external fixation and compare the results with internal fixation. Methods: Thirty-six patients with Pilon fractures were treated with single arm-three-diementionl external fixator or T shape basitinni external fixator as shaft axial fixation or tibial supportive plate or AO three-leaves plate and simple internal fixation of the fibula to restore anatomical reduction of the ankle. Results: All the patients were followed up for 4 to 60 months. All fractures were united according to the Mazur scoring system and the excellent and good rate was 75%. Conclusions: External fixation with limited internal of Pilon fractures has such advantages as simple operative technique, less injuries, anatomic reduction of ankle, earlier rehabilitation and satisfactory functional recovery.