| 术前跟骨牵引在治疗Rüedi-AllgöwerⅡ型和Ⅲ型Pilon骨折中的作用 |
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Received:October 16, 2012
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| 期刊信息：《中国骨伤》2013年26卷，第6期，第512-514页 |
| DOI：10.3969/j.issn.1003-0034.2013.06.017 |
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目的: 探讨术前跟骨牵引在治疗Rüedi-AllgöwerⅡ、Ⅲ型Pilon骨折中的作用。
方法: 自2005年3月至2010年3月,采用跟骨牵引作为临时固定措施,Ⅱ期行内固定手术,治疗Rüedi-AllgöwerⅡ、Ⅲ型Pilon骨折56例,其中男42例,女14例;年龄18～68岁,平均34.6岁。术后按照Tornetta等胫骨Pilon骨折临床治疗结果评价标准进行疗效评估。
结果: 56例均获随访,时间9～36个月,平均18个月;均获骨性愈合,愈合时间4.5～8.2个月,平均6.2个月。无深部感染、内固定物断裂等并发症发生。按照Tornetta等评价标准进行评估,优35例,良18例,可3例。
结论: 术前采用跟骨牵引作为临时固定措施,为成功完成手术创造了良好的环境,是重获一个有功能、无疼痛、能负重、可运动关节的必备基础。 |
| [关键词]:骨折 跟骨 牵引术 骨折固定术,内 |
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| Preoperative traction of calcaneus in the treatment of Rüedi-Allgöwer Ⅱ and Ⅲ Pilon fracture |
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Abstract:
Objective: To explore the role of preoperative calcaneal traction in the treatment of Rüedi-Allgöwer Ⅱand Ⅲ Pilon fracture.
Methods: From March 2005 to March 2010,56 patients with Rüedi-Allgöwer Ⅱand Ⅲ Pilon fracture were treated by calcaneal traction internal fixation on the second phase. There were 42 males and 14 females with an average age of 34.6 years old (ranged 18 to 68). Clinical outcomes were assessed according to Tormette Pilon and tibia fracture standard.
Results: All patients were followed up from 9 to 36 months with an average of 18 months. All fracture obtained bone healing,the time ranged from 4.5 to 8.2 months with a mean of 6.2 months. No deep infection,breakage of internal fixation and other complications occurred. According to Tornetta evaluation criteria,35 cases got excellent results,18 cases good,and 3 cases fair.
Conclusion: Preoperative calcaneal traction as a temporary fixing measure can provide a good environment for successful operation,and is an essential foundation for recovering functional,painless,load,movable joint. |
| KEYWORDS:Fractures Calcaneus Traction Fracture fixation,internal |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 宋俊生,王林.术前跟骨牵引在治疗Rüedi-AllgöwerⅡ型和Ⅲ型Pilon骨折中的作用[J].中国骨伤,2013,26(6):512~514 |
| 英文格式: | SONG Jun-sheng,WANG Lin.Preoperative traction of calcaneus in the treatment of Rüedi-Allgöwer Ⅱ and Ⅲ Pilon fracture[J].zhongguo gu shang / China J Orthop Trauma ,2013,26(6):512~514 |
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