1/3半管型双钢板内固定治疗Pilon骨折

目的 介绍一种1/3半管型钢板内固定治疗Pilon骨折的治疗方法,评价其临床疗效.方法 29例Pilon骨折患者,复位后采用1/3半管型双钢板固定. 结果 本组29例均获随访,时间18～43个月,平均(24.6±4.3)个月.按照Mazur标准评定疗效,本组优19例,良4例,可6例,优良率为79.3％.有2例切口延迟愈合,经换药后愈合.无感染、骨髓炎、骨不连、关节僵硬等并发症.结论 1/3半管型双钢板内固定治疗Pilon骨折具有疗效佳,并发症少的优点.

Internal Fixation for Pilon fractures with One-third Half-pipe-type Double Plates

Objective To introduce a kind of internal fixation method of Pilon fractures with one-third half-pipe-type double plates,and to assess it clinical efficacy.Method A total of 29 cases suffered Pilon fracture was treated by open reduction and internal fixation with one-third half-pipe-type double plates. Results All 29 cases were followed up for 24.6±4.3 months averagely(ranged 18 to 23 months).According to Mazur scoring criteria,the outcomes revealed excellent in 19 cases,good in 4 cases and fair in 6 cases,and the fineness rate was 79.3%.Two cases were found incision delayed healing,and cured by change dressings.No complication such as infection,osteomyelitis,nonunion and anchylosis was found.Conclusion The internal fixation of one-third half-pipe-type double plates was an effective method for Pilon fractures with advantages as good curative effect and less complication.