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复杂Pilon骨折的延期手术治疗
引用本文:徐献伦,郎洪静.复杂Pilon骨折的延期手术治疗[J].中国实用医药,2008,3(30):67-68.
作者姓名:徐献伦  郎洪静
作者单位:山东济宁第一人民医院急诊外科,272000
摘    要:目的探讨应用有限内固定联合外固定支架延期治疗复杂Pilon骨折的效果。方法对33例Pilon骨折,根据Ruedi分型:Ⅱ型14例,Ⅲ型19例。延期治疗,简单内固定3例;有限内固定结合外固定治疗支架30例。结果随访29例,时间12—24个月,均骨性愈合。优16例,良:8例,可:3例,差2例。结论应用有限内固定联合外固定支架延期治疗复杂Pilon骨折是一种合理有效的方法。

关 键 词:Pilon骨折  内固定  外固定架

Delayed operation therapy of complex Pilon fracture
XU Xianlun,LANG Hongjing.Delayed operation therapy of complex Pilon fracture[J].China Practical Medical,2008,3(30):67-68.
Authors:XU Xianlun  LANG Hongjing
Institution:XU Xian-lun,LANG Hong-jing.Department of Emergency Surgery,the First People's Hospital of Jining Shandong,272000,China
Abstract:Objective To investigate the clinical effects of limited internal fixation combined with external fixation in the delayed treatment of Pilon fracture. Methods 33 cases of Pilon fracture were classified as Type Ⅱ (14cases)and Type Ⅲ (19cases). 3 cases of Pilon fracture were treated by simple internal fixation and 30 cases of Pilon fracture were treated by limited internal fixation combined with external fixation. Results 29 cases were followed-up for 12 -24 months. All cases got bone union. According to Ovadia standard, 16 cases were excellent,8 cases were good,3 cases were acceptable,2 cases were bad. Conclusion Application of limited internal fixation combined with external fixation in the delayed treatment of Pilon fracture is an effective method.
Keywords:Pilon fracture  Internal fixation  External fixation
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