“L”型锁定钢板加植骨微创治疗胫骨Pilon骨折临床分析

目的探讨"L"型锁定钢板加植骨微创治疗在胫骨Pilon骨折中的疗效。方法回顾性分析2012年2月~2014年1月使用"L"型锁定钢板加植骨微创治疗胫骨Pilon骨折患者共计31例,男性19例,女性12例;年龄26~73岁,平均54岁。术前均根据Ruedi-Allgower分型,其中Ⅱ型19例,Ⅲ型12例。结果31例患者均获随访,时间6~24个月,平均12个月;根据Mazur评分,优21例,良5例,可5例,优良率83.9%。结论 "L"型锁定钢板结合植骨微创治疗Pilon骨折可获得良好的临床疗效。

Treatment of Pilon fracture with L-type locking compression plate combined with minimally-invasive bone grafting

Objective To discuss the clinical efficacy of minimally-invasive bone grafting and L-model loc-king compression plate in treating Pilon fracture.Methods Thirty-one cases of Pilon fractures underwent limited incision and internal fixation with L-model plate and bone grafting from Feb.2012 to Jan.2014.There were 31 males and 19 males,with age ranged from 26 to 73 years(average 54 years).According to Ruedi-Allgower classifi-cation,19 cases were type Ⅱ and 12 cases were type Ⅲ.Results All cases were followed up for 12 months in av-erage(ranged from 6 months to 24 months).The Mazur evaluation indicated excellent in 21 cases,good in 5 cases and fair in 5 cases,with an excellent and good rate of 84%.Conclusion L -model locking compression plate combining with minimally-invasive bone grafting for treating Pilon fractures can achieve good clinical effects.