摘要
目的介绍新型AO胫骨远端前外侧锁定加压钢板（LCP）治疗胫骨远端骨折（Pilon骨折）的初步经验。方法手术治疗8例闭合性Pilon骨折，腓骨作外踝后方纵切口，复位后用1／3管形或重建钢板固定；胫骨远端骨折采用踝关节前方中点纵向直切13，复位后采用胫骨远端前外侧LCP内固定，术后进行定期临床随访，观察初步疗效。结果术后7例患者获得随访3—6个月（平均4．5个月）。虽有1例切VI出现短暂的表浅轻微炎症，最终所有切口均一期愈合，无深部感染发生。按照Burwell—Chamley骨折复位放射学评价标准，解剖复位5例，1例复位好，1例可；采用Tometta治疗Pilon骨折临床评价标准对5例术后超过5个月随访的患者进行临床疗效评估，4例优，1例良。结论掌握好手术时机，胫骨远端前外侧锁定加压钢板用于胫骨远端骨折治疗牢固可靠，皮肤并发症少，值得推荐。
Objective To introduce experience of using the new AO anterolateral distal tibia locking com- pression plate （LCP） for treatment of Pilon fractures. Methods Between February and August of 2009,8 closed Pi- Ion fractures were treated by open reduction and internal fixation. The distal fibula was fixed with a one-third tubular plate or an recontruction plate via a straight incision posterior to the fibular crest. The distal tibia was approched by a straight incision over the ankle joint, and the fracture was stabilized using an anterolateral distal tibia LCP. Regular follow up was made to observe and evaluate the preliminary clinical outcomes. Results Seven of the 8 patients were availabe for follow up for 3 ~ 6 months （ average 4.5 months）. All incisions obtained primary healing,though one ex- perienced mild superficial inflammation, and none developed deep infections. Based on the Burwell and Charuley radi- ographic criteria, anatomical reduction was obtained in 5 cases,good in 1 ,and fair in 1. Among the 5 cases exceeding 5 months postsurgery,4 were evaluated as excellent and 1 as good according to Tornetta＇ s clinically based criteria for Pilon fractures. Conclusion With good surgical timing,internal fixation with anterolateral LCP for Pilon fractures is reliable and warrants less complications.
出处
《中国基层医药》
CAS
2010年第4期455-456,共2页
Chinese Journal of Primary Medicine and Pharmacy
关键词
胫骨骨折
骨板
骨折固定术
内
Tibial fracture
Bone plate
Fracture fixation,internal
