| 后方Pilon骨折特征及治疗的临床观察 |
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投稿时间：2014-12-08
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| 作者 | Author | 单位 | Address | E-Mail |
| 俞高峰 |
YU Gao-feng |
新昌县张氏骨伤医院骨二科, 浙江 绍兴 312500 |
The Second Department of Orthopaedics, Zhangshi Orthopaedic Hospital of Xinchang, Shaoxing 312500, Zhejiang, China |
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| 马江涛 |
MA Jiang-tao |
新昌县张氏骨伤医院骨二科, 浙江 绍兴 312500 |
The Second Department of Orthopaedics, Zhangshi Orthopaedic Hospital of Xinchang, Shaoxing 312500, Zhejiang, China |
majiangtao6645@126.com |
| 俞敏 |
YU Min |
新昌县张氏骨伤医院骨二科, 浙江 绍兴 312500 |
The Second Department of Orthopaedics, Zhangshi Orthopaedic Hospital of Xinchang, Shaoxing 312500, Zhejiang, China |
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| 潘立群 |
PAN Li-qun |
新昌县张氏骨伤医院骨二科, 浙江 绍兴 312500 |
The Second Department of Orthopaedics, Zhangshi Orthopaedic Hospital of Xinchang, Shaoxing 312500, Zhejiang, China |
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| 张良 |
ZHANG Liang |
新昌县张氏骨伤医院骨二科, 浙江 绍兴 312500 |
The Second Department of Orthopaedics, Zhangshi Orthopaedic Hospital of Xinchang, Shaoxing 312500, Zhejiang, China |
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| 梁守信 |
LIANG Shou-xin |
新昌县张氏骨伤医院骨二科, 浙江 绍兴 312500 |
The Second Department of Orthopaedics, Zhangshi Orthopaedic Hospital of Xinchang, Shaoxing 312500, Zhejiang, China |
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| 期刊信息：《中国骨伤》2015年，第28卷，第6期，第527-530页 |
| DOI：10.3969/j.issn.1003-0034.2015.06.011 |
| 基金项目: |
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中文摘要:
目的:探讨后方Pilon骨折的临床特征及治疗方法。
方法:回顾分析自2010年1月至2013年1月收治的18例后方Pilon骨折患者, 男13例, 女5例;年龄22～63岁, 平均46岁。所有患者为闭合性骨折, 肿胀消退后切开复位内固定, 先采用健侧卧位后外侧入路显露外踝及后Pilon骨折块, 分别用钢板予以固定, 再改仰卧位用螺钉或小钢板固定内踝后丘。采用美国足踝外科协会踝-足评分(AOFAS)对其疗效进行评价。
结果:18例均获得随访, 平均随访时间22个月(12～48个月).除1例复位不满意外, 其余均解剖复位;骨折均愈合, 平均愈合时间11周。末次随访采用美国足踝外科协会踝-足评分(AOFAS)进行临床疗效评估, 结果优7例, 良9例, 中2例, 平均(86.8±9.2)分。
结论:后方Pilon骨折在临床上并不少见, 其受伤机制、创伤解剖、手术方式和预后均有别于经典踝部骨折与一般Pilon骨折。 |
| 【关键词】Pilon骨折 骨折固定术, 内 踝关节 |
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| Clinical observation of characteristic and treatment of posterior Pilon fractures |
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ABSTRACT
Objective:To explore clinical characteristics and treatment of posterior Pilon fracture.
Methods:From January 2011 to January 2013, 18 patients with posterior Pilon fracures were treated. Among them, 13 were male and 5 were female, aged from 22 to 63 years old, with an average age of 46. All the patients were closed fractures. Open reduction and internal fixation were performed after swelling subsided, lateral malleolous and posterior Pilon fracture were exposured through lateral approach on healthy side, plates were used to fixed, screws or small plates were used to fix the posterior prominence of medial malleolus after changed to supine position. AOFAS scoring were applied to evaulate clinical effects.
Results:All patients were followed up with an average of 22(ranged, 12 to 48)months. All patients obtained satisfactory reset except one patient. All factures were recovered well with an average healing of 11 weeks. According to AOFAS score at the final following up, 7 cases were excellent, 2 cases were moderate, and the total score was 86.8±9.2.
Conclusion:Posterior Pilon fracture is not rare in clinical, its mechanism of injury, traumatic anatomy, surgical procedure and prognosis are different from that of classical ankle fracture and Pilon fracture. |
| KEY WORDS Pilon fracture Fracture fixation,internal Ankle joint |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 俞高峰,马江涛,俞敏,潘立群,张良,梁守信.后方Pilon骨折特征及治疗的临床观察[J].中国骨伤,2015,28(6):527~530 |
| 英文格式: | YU Gao-feng,MA Jiang-tao,YU Min,PAN Li-qun,ZHANG Liang,LIANG Shou-xin.Clinical observation of characteristic and treatment of posterior Pilon fractures[J].zhongguo gu shang / China J Orthop Trauma ,2015,28(6):527~530 |
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