摘要
Pilon骨折的概念由Destot于1911年提出,其特征是涉及胫骨远端关节面上干骺端骨折,呈现不同程度的嵌插与粉碎,伴有关节软骨损伤和关节面分离,可涉及内踝、外踝、后踝的骨折。Pilon骨折的分类,目前临床应用较多的是Rüedi-Allgwer分类(1969)与AO/OTA分类方法(1996)。Rüedi-Allgwer分类依据关节面的粉碎程度和移位程度,将Pilon骨折分为三型。AO/OTA分类中,Pilon骨折主要涉及43-B3、43-C1、43-C2、43-C3,共分为两型4组12个亚组。Pilon骨折治疗结局评价主要用Burwell-Charnley(1965)骨折复位放射学评价标准和Tornetta(1993)临床治疗结果评价标准,也可用Mazur(1979)踝关节评价分级系统、Baird-Jackson(1987)踝关节评分系统。
The concept of Pilon fractures was firstly introduced by Destot of France in 1911. Although the medial, lateral, and posterior malleoli may be involved, the definitive feature of Pilon fracture is involvement of the supra-articular metaphysis of distal tibia, which typically exhibits various degrees of impaction and comminution, combined with articular cartilage damage and joint surface incongruity. The most widely used and accepted classification methods for Pilon fractures are Rüedi-Allgwer’s classification (1969) and AO/OTA comprehensive classification system (1996). In the former system, Pilon fractures are subdivided into types Ⅰ,Ⅱ, and Ⅲaccording to the increasing severity of joint surface comminution and displacement, while in the AO system, there are 2 types(43-B and 43-C), 4 groups (43-B3, 43-C1, 43-C2, 43-C3), and 12 subgroups. Burwell-Charnley’s(1965)radiographic criteria of reduction and Tornetta's (1993)criteria for clinical results have been devised for evaluation of the treatment of Pilon fractures. Mazur’s ankle evaluation grading system (1979) and Baird-Jackson’s ankle scoring system(1987)are also used.
出处
《中华创伤骨科杂志》
CAS
CSCD
2004年第8期894-898,共5页
Chinese Journal of Orthopaedic Trauma
关键词
PILON骨折
分类
功能评价
胫骨远端
Distal tibia
Fracture
Pilon fracture
Classification
Functional assessment
