刘浩纪方△.Pilon 骨折的分型与治疗进展[J].,2012,12(15):2978-2980 |
Pilon 骨折的分型与治疗进展 |
Classification and Treatment Progress of Pilon Fracture |
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DOI: |
中文关键词: Pilon 骨折 分型 治疗 综述 |
英文关键词: Pilon fracture Classification Treatment Overview |
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中文摘要: |
本文回顾了Pilon 骨折的诊断、分型及治疗发展,Pilon 骨折特点是高能量损伤累及踝关节负重关节面的胫骨远端骨折,常伴
有腓骨骨折和下胫腓关节分离。20 世纪中期Pilon 骨折被认为无法通过内固定进行治疗,公认的方法是通过骨牵引使关节早期模
造获得关节功能的恢复。20 世纪后期随着AO 理论的深入研究,学术界广泛认同所有关节内骨折的理想治疗方法是解剖复位、坚
强固定和早期活动。此后,随着内固定技术的发展及骨科BO 理论的出现,目前普遍认为Pilon 骨折的治疗应遵循的原则是:1.寻
求骨折稳固和软组织完整之间的一种平衡;2.不以牺牲局部软组织血供来强求达到坚强固定。 |
英文摘要: |
This article reviewed development of the diagnosis, classfication and treatment of Pilon fracture.Pilon fracture is
characterized by distal tibial fracture caused by high-energy injuries involving the ankle joint weight-bearing articular surface, which is
frequently associated with fibula fracture and inferior tibiofibular joint separation.In the middle of 20th century, it was considered that
Pilon fracture might not be treated by internal fixation. Skeletal traction was the only accepted method to get early restoration of joint
function.With deep study of the AO theory in the late of 20th century, an ideal treatment which was widely accepted by academia is that
intra-articular fracture should be treated by anatomical reduction, rigid fixation and early mobilization. Since then, with the development
of fixation and the emergence of BO theory, we widely accepted that the principle of Pilon fracture treatment should be abided by two
following rules: the first is a balance maintained between stability of fracture and integrity of soft tissue; the second is that losing local
blood supply of soft tissue should not be allowed for firm fixation. |
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