摘要
目的总结有限内固定结合外固定支架治疗Pilon骨折的疗效及并发症。方法回顾性分析1996年4月～2003年6月,应用有限内固定结合外固定支架治疗的20例Pilon骨折(治疗组)和手法复位跟骨牵引、手法复位石膏固定、切开复位有限内固定治疗的22例Pilon骨折(对照组),比较各组骨折治疗前后X线片、临床疗效和并发症。结果获随访8～26个月,平均15.2个月。临床疗效参照Helfet评定标准:治疗组优良率为75%,对照组为72.7%,二者差异无统计学意义(P>0.05)。X线片评价按Burwell-charnley标准,治疗组疗效优良率为90%,对照组为86.4%,二者差异无统计学意义(P>0.05)。治疗组与对照组并发症发生情况差异有统计学意义(P<0.05)。结论有限内固定结合外固定支架能较好恢复踝关节功能,减少并发症,尤其是对减少软组织并发症和防止关节面再塌陷有明显优点,可作为治疗Pilon骨折的较好方法。
Objective To summarize the effect and complication of treatment for Pilon fracture using limited internal fixation combined with external fixation. Methods From April 1996 to June 2003, 20 patients with Pilon fracture were treated with limited internal fixation combined with external fixation as the treatment group and 22 patients with Pilon fracture with other methods as the control group. The X-ray films, clinical effect and complication were analyzed and compared between 2 groups. Results All cases were followed up for 8 to 26 months（15.2 months on average）. According to Helfet＇s criterion for clinical effect, the excellent and good rates were 75% in the treatment group and 72. 7% in the control group, being no significant difference （P）0. 05）. According to Burwell-charnley criterion for reduction, the X-ray film results showed the excellent and good rates were 90% in the treatment group and 86. 4% in the control group, being no significant difference （P〉0.05）. But there was significant difference in complications between 2 groups （P〈0.05）. Conclusion Limited internal fixation combined with external fixation is better in resuming ankle joint function and remarkably reducing complication, especially in reducing soft tissue complication and collapse of bone joint; it is useful in the treatment of Pilon fracture.
出处
《中国修复重建外科杂志》
CAS
CSCD
北大核心
2005年第8期603-606,共4页
Chinese Journal of Reparative and Reconstructive Surgery
关键词
胫骨Pilon骨折有限内固定外固定
Tibia Pilon fracture Limited internal fixation External fixation
