期刊文献+
任意字段
题名或关键词
题名
关键词
文摘
作者
第一作者
机构
刊名
分类号
参考文献
作者简介
基金资助
栏目信息

Pilon骨折的治疗 被引量：98

Treatment of Pilon fracture
原文传递
导出
摘要 复杂Pilon骨折的治疗最具有挑战性。要使Pilon骨折的治疗获得满意的效果首先必须对损伤进行正确的评估,其中对软组织损伤的评估对治疗计划的制定具有至关重要的作用;骨折的严重程度与预后密切相关。治疗计划包括手术时机,固定方式的选择及术后处理。本文结合文献回顾及作者的经验,提出了损伤评估的标准;对各种治疗方法进行了评价,并提出了固定方式选择的原则;同时对术后治疗提出方案。 Complex Pilon fracture is always a challenge to orthopaedic surgeons. Careful assessment of the injury, especially the soft tissue condition, is essential for a proper treatment planning. Classification of the fracture is also important for evaluation of the prognosis. Treatment planning includes: timing of the surgery, selection of the fixation method and postoperative protocols. In this article, on the basis of literature review and personal experience, the author suggests criteria for injury assessment and postoperative treatment. A brief comparison of different kinds of fixation is made and the principle of implant selection is discussed in the text.
作者 罗从风 曾炳芳
机构地区 上海交通大学附属第六人民医院骨科
出处 《中华创伤骨科杂志》 CAS CSCD 2005年第3期230-232,235,共4页 Chinese Journal of Orthopaedic Trauma
关键词 PILON骨折 损伤评估 治疗方法 Pilon fracture Criteria for injury assessment Postoperative treatment
分类号 R683.42 [医药卫生—骨科学]
  • 相关文献

参考文献20

  • 1Giordano CP,Koval KJ,Zuckerman JD,Desai P.Fracture blisters.Clin Orthop,1994,(307):214-221.
  • 2Giordano CP,Koval KJ.Treatment of fracture blisters:a prospective study of 53 cases.J Orthop Trauma,1995,9:171-176.
  • 3Rü edi T,Allg(o)wer M.The operative treatment of intraarticular fractures of the lower end of the tibia.Clin Orthop,1979,( 138) :105-110.
  • 4Patterson MJ,Cole JD.Two-staged delayed open reduction and internal fixation of severe open Pilon fractures.J Orthop Trauma,1999,13:85-91.
  • 5Sirkin M,Sanders R,DiPasqale T,Herscovici D.A staged protocol for soft tissue management in treatment of complex Pilon fractures.J Orthop Trauma,1999,13:78-84.
  • 6Kellam JF,Waddall JP.Fractures of the distal tibial metaphysic with intra-articular extension:the distal tibial explosion fracture.J Trauma,1979,19:593-601.
  • 7Rü edi T.Fractures of the lower end of the tibia into the ankle joint:results 9 years after open reduction and internal fixation.Injury,1973,5:130-134.
  • 8Rü edi T,Allg(o)wer M.The operative treatment of intra-articular fractures of the lower end of the tibia into ankle joint.Injury,1969,1:92-99.
  • 9Bartlett CS III,D'Amato MJ,Weiner LS.Fractures of the tibial Pilon.In:Browner BD,Jupiter JB,Levine AM,Trafton PG,eds.Skeletal trauma.2nd ed.Philadelphia:W.B.Saunders Companys,1998.2295-2325.
  • 10McFerran M,Smith S,Boulas HJ,Schartz H.Complications encountered in the treatment of Pilon fractures.J Orthop Trauma,1999,13:85-91.

二级参考文献24

  • 1Marsh JL, Bonar S, Nepola JV, et al. Use of an articulated external fixator for fractures of the tibial plafond. J Bone Joint Surg (Am),1995, 77: 1498-1509.
  • 2Bonar SK, Marsh JL. Unilateral external fixation for severe pilon fractures. Foot Ankle, 1993, 14: 57-64.
  • 3Bone L, Stegemann P, McNamara K, et al. External fixation of severely comminuted and open tibial pilon fractures. Clin Orthop,1993, (292): 101-107.
  • 4Saleh M, Shanahan MD, Fern ED. Intra-articular fractures of the distal tibial: surgical management by limited internal fixation and articulated distraction. Injury, 1993, 24: 37-40.
  • 5Tornetta P 3rd, Weiner L, Bergman M, et al. Pilon fractures: treatment with combined internal and external fixation. J Orthop Trauma,1993, 7: 489-496.
  • 6Marsh JL. Distal tibial and plafond fractures. In: De Bastiani G, Apley AG, Goldberg A, eds. Orthofix external fixation in trauma and orthopaedics. 1st ed. London: Springer, 2000. 295.
  • 7Fitzpatrick DC, Marsh JL, Brown TD. Articulated external fixation of pilon fractures: the effects on ankle joint kinematics. J Orthop Trauma, 1995, 9: 76-82.
  • 8McFerran MA,Smith SW,Boulas HJ,et al.Complications encountered in the treatment of Pilon fractures. J Orthop Trauma,1992,6:195-200.
  • 9Teeny SM,Wiss DA Open reduction and internal fixation of tibial plafond fractures:variables contributingto poor results and complications. Clin Orthop, 1993, (292):108-117.
  • 10Krettek C;Schandelmaier P;Miclau T;Tscherne H.Minimally invasive percutaneous plate osteosynthesis (MIPPO) using the DCS in proximal and distal femoral fractures,1997(z1).

共引文献490

同被引文献612

引证文献98

二级引证文献386

中华创伤骨科杂志
2005年 第3期

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部