“L”形锁定解剖钢板治疗Pilon骨折临床观察

目的：探讨应用“L”形锁定解剖钢板治疗Pilon骨折的疗效。方法2008年11月-2012年8月我院应用“L”形解剖锁定钢板治疗36例Pilon骨折患者,Ruedi-Allgower分型：Ι型6例,Ⅱ型17例,Ⅲ型13例。结果采用美国矫形足踝协会（AOFAS）评分评价术后功能情况,Ⅰ型：优6例,优良率100%;Ⅱ型：优7例,良8例,一般2例,优良率88%;Ⅲ型：优3例,良6例,一般3例,差1例,优良率69%。结论在治疗胫骨远端骨折时,选择合适的手术时机,应用“L”形锁定解剖钢板作为内置物,能最大限度地恢复踝关节功能,有效避免并发症。

Surgical treatment of Pilon fractures with L-LCP

Objective To evaluate the effect of the treatment of Pilon Fracture with L-LCP. Methods From November 2008 to August 2012,36 patients with Pilon Fracture underwent operative treatment with L-LCP. According to Ruedi-Allgower classification：6 asΙ,17 asⅡand 13 asⅢ. Results The function of the post-operative ankle joint was evaluated by AOFAS：100%excellent rates ofⅠtype,88%excellent and good rates ofⅡtype,69%excellent and good rates ofⅢtype. Conclusion To operative treat the Pilon Fracture with L-LCP can maximize the recovery of ankle function and avoid a lot of complication.