Pilon骨折75例临床分析

目的:探讨 Pilon骨折的适宜手术方法及最佳手术时机.方法:对2006年8月~2011年2月经手术治疗的75例 Pilon骨折患者资料进行回顾分析,对不同手术方法患者临床疗效进行对比.结果:所有患者术后均获得6~36个月随访,平均18个月.采用 Mazur评分系统评估手术疗效,切开复位内固定组踝关节功能优良率高于有限切开复位内固定结合外固定组(P<0.05);早期切开复位内固定组术后并发症的发生率高于延期切开复位内固定组(P<0.01).结论:合理的手术方法和恰当的手术时机在 Pilon骨折治疗中起重要作用,而骨折类型和周围软组织损伤程度是选择手术方法和确定手术时机的依据.

Clinical Analysis of 75 Cases with Tibia Pilon Fracture

Objective：To explore the optimal methods and the best timing for treatment of Pilon frac- ture. Methods：A retrospective analysis was done for 75 cases with Pilon fracture who had been treated in dif- ferent methods of surgery in Orthopaedical department of the Third Hospital of Bengbu from August 2006 to Feb- ruary 2011. Results：All cases were followed up from 6 to 36 months,with an average of 18 months. Mazur scale was adopted for ankle joint, the result of the treatment was evaluated. Choiceness rate of ankle joint functions of open reduction internal fixation group was better than limited open reduction internal fixation combined with ex- ternal fixation group （ P 〈 0.05 ） ; The complication rate of early open reduction internal fixation group was signif- icantly higher than the delayed open reduction internal fixation group（ P 〈 0.01 ）. Conclusions：In order to get a satisfactory result, it is important to have proper surgical procedure and timing of surgery ; Proper surgical pro- cedure and timing of surgery can be chosen based on fracture type and soft tissue injury.