| 开放性Pilon骨折治疗方法的选择及疗效探讨 |
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| 期刊信息：《中国骨伤》2010年，第23卷，第2期，第132-134页 |
| DOI：10.3969/j.issn.1003-0034.2010.02.018 |
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中文摘要:
目的：探讨开放性Pilon骨折的治疗方法及疗效评价。
方法：回顾性分析1996年2月至2009年3月治疗126例开放性Pilon骨折患者，男72 例，女54 例；年龄17～65 岁，平均36 岁。按 Ruedi-Augower 分类方法，Ⅰ型28 例，Ⅱ型58例，Ⅲ型40 例。外固定支架结合有限内固定31例，切开复位解剖钢板内固定80例，切开复位交叉克氏针内固定15例。
结果：所有患者获得随访，时间10～26个月，平均16个月。骨愈合时间8～14周，平均10周。根据踝关节评价标准，优89例，良26 例，可9例，差2例，优良率达91.2%.
结论：采用“个性化”治疗原则，有效避免并发症的发生且利于关节功能的恢复 |
| 【关键词】胫骨骨折 关节 骨折固定术，内 外科手术 |
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| Curative effect investigation and therapy selection of open Pilon fracture |
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ABSTRACT
Objective: To evaluate the treatment of open Pilon fractures.
Methods: A total of 126 open Pilon fracture cases were reviewed retrospectively. The patients were treated from February 1996 to March 2009,included 72 males and 54 females with an average age of 36 years old ranging from 17 to 65 years. According to the Ruedi-Augower classification,there were 28 cases of type I,58 of type II,and 40 of type III. Among all the cases,31 cases were treated with external fixators combined with limited internal fixations,80 cases were treated with open reduction and internal fixation with anatomical plates,15 cases with open reduction and cross K-wire fixations.
Results: All cases were followed-up for from 10 to 26 months with an average of 16 months. The average bone healing time was 10 weeks (from 8 to 14 weeks). According to the Mazur ankle function evaluation,the results were excellent in 89 cases,good in 26,fair in 9,poor in 2. The excellent and good rate was 91.2%.
Conclusion: The “Personalized treatment principle” effectively prevents the occurrence of complications and helps to restore the joint functions. |
| KEY WORDS Tibial fractures Joints Fracture fixation,internal Surgical procedures,operative |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 曹启斌,王继磊.开放性Pilon骨折治疗方法的选择及疗效探讨[J].中国骨伤,2010,23(2):132~134 |
| 英文格式: | CAO Qi-bin,WANG Ji-lei.Curative effect investigation and therapy selection of open Pilon fracture[J].zhongguo gu shang / China J Orthop Trauma ,2010,23(2):132~134 |
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