摘要
目的探讨有限内固定结合外固定支架治疗Rüedi-Allgwer Ⅲ型Pilon骨折的临床疗效。方法 2006年3月～2010年7月采用克氏针或螺钉内固定结合外固定支架固定治疗Rüedi-Allgwer Ⅲ型pi1on骨折18例,术后2～3个月拆除外固定支架。结果术后18例均获得随访。随访时间4～26个月,平均15个月,临床疗效满意,无切口、伤口感染,无皮肤坏死等严重并发症。参照Mazur踝关节评分分级系统来评价,结果显示优6例,良9例,可3例,总体优良率达约83.3%。结论有限内固定结合外固定支架能有效固定骨折端,避免软组织感染和骨不连,是治疗严重粉碎Pilon骨折理想的方法之一。
Objective To investigate the clinical effect of treatment of Rüedi-Allgwer ⅢPilon’s fractures with limited internal fixations and external fixators.Methods 18 cases of Rüedi-AllgwerⅢPilon’s fractures with limited internal fixations and external fixators were treated during 2006 to 2010.They were all treated by Kirss-chnerwires or screws together with external fixations.External fixator were removed at 2 to 3 monks after operation.Results All cases were followed up after operation.The following observation time was 4 to 26 months,average 15 months.No infections of wound and incision,no skin necrosis complication was found.According to Mazur ankle joint scoring system,The results demonstrated 6 excellent,9 good,3 fair,the excellent and good rate was 83.3%.Conclusion Limited internal fixation and external fixator is one of the effective way of treatment of Pilon Ⅲ fracture because it can immobilize the sections of fracture and avoid infection of soft tissue and nonunion of fracture.
出处
《生物骨科材料与临床研究》
CAS
2012年第3期36-38,40,共4页
Orthopaedic Biomechanics Materials and Clinical Study
关键词
PILON骨折
有限内固定
外固定架
Pilon fracture
Limited internal fixation
External fixator
