| 张 浩
1
张立海
1
黄 睿
2
郭晓东
3
毛 智
1
张里程
1
陈 超
1
唐佩福
1△.一期外固定联合锁定钢板内固定术治疗 C 型 pilon 骨折的临床疗效[J].,2014,14(6):1080-1082 |
| 一期外固定联合锁定钢板内固定术治疗 C 型 pilon 骨折的临床疗效 |
| Clinical Effects of External Fixation at One-stage Combined with InternalFixation by Plate on the Treatment of Type C Pilon Fractures |
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| DOI： |
| 中文关键词: 外固定架 锁定钢板 pilon 骨折 分期治疗 |
| 英文关键词: External fixator Locking plate Pilon fractures Staging treatment |
| 基金项目:国家自然科学基金青年科学基金项目( 30901795 ） |
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| 中文摘要: |
| 摘要 目的： 探讨外固定架联合锁定钢板分期治疗 C 型 pilon 骨折的临床疗效。 方法： 选取 2010 年 3 月至 2011 年 4 月在我院接受
治疗的 C 型 pilon 骨折患者 17 例。按照分期治疗的原则， 先行一期外固定架固定术， 待局部软组织恢复后切开复位， 再行锁定钢
板内固定术进行治疗， 术后对患者进行一年的随访， 定期检查患者的踝关节功能， 并借助影像学资料对临床疗效进行评价。结果：
全部患者获得随访， 平均愈合时间为(4.1± 1.6)月；平均 AOFAS 评分为(83.1± 12.4)分， 其中优 6 例(35.2 %)， 良 8 例(47.1 %)，一般
2 例(11.8 %)， 差 1 例(5.9 %)， 优良率为 82.4%； 术后 4 例患者出现出现轻度感染， 通过局部换药、 抗生素和钉道护理得到控制。结
论： 采用一期外固定联合锁定钢板内固定术分期治疗 C 型 pilon 骨折， 可以有效地提高治疗效果， 值得临床推广。 |
| 英文摘要: |
| ABSTRACT Objective：To discuss the clinical efficacy of the external fixation at one-stage combined with locking plate internal
fixation on the treatment of type C pilon fractures. Methods:17 cases with type C pilon fractures who were treated by external fixation at
one-stage combined with locking plate internal fixation in our hospital from March 2010 to April 2011 were selected. Based on the principles for type C pilon fractures, the patients were treated by the external fixation at the first stage till the local soft tissues were recovered
completely, then performed the open reduction and internal fixation by locking plate. The patients were followed up for one year, the ankle joint function of patients were examined regularly and the final outcomes of the treatment were evaluated with the help of the clinical
rating and radiographic.Results: All the patients were available of follow-ups with the average time for healing of (4.1 ± 1.6) months and
the average score of AOFAS of (83.1± 12.4). There were six cases excellent(35.2%), eight cases good(47.1 %), two cases neutral(11.8%)
and one case poor (5.9%) with the rate of 82.4%. The incidence of complication which including superficial infection in the wound with
four patients who were successful treated by local dressing changes, the application of antibiotics and nail care.Conclusion: It is suggested that the application of the external fixation at one-stage combined with internal fixation by locking plates could effectively improve the
treatment effect. |
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