| 孙克理 袁志 毕龙 王连军 王怀斌.解剖型锁定钢板治疗Pilon骨折的临床疗效分析[J].,2014,14(31):6090-6092 |
| 解剖型锁定钢板治疗Pilon骨折的临床疗效分析 |
| Analysis of the Clinical Efficacy of Anatomic Locking Plate in theTreatment of Pilon Fractures |
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| DOI： |
| 中文关键词: Plion骨折 解剖型锁定钢板 切开复位内固定 临床疗效 |
| 英文关键词: Pilon fractures Anatomic locking plate Open reduction and internal fixation Clinical efficacy |
| 基金项目:国家自然科学基金项目(30901532) |
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| 中文摘要: |
| 目的：探讨解剖型锁定钢板治疗Pilon 骨折的临床疗效和安全性。方法：选择2009 年1 月～2012 年12 月采用解剖型锁定钢
板内固定治疗30 例Pilon 骨折患者为研究对象，所有患者在无明显手术禁忌情况下，均行开放复位钢板内固定术。术后采用
Mazur 评分系统评价手术效果。结果：本组全部患者均获得随访，骨折平均愈合时间为4.1 个月；参照Mazur 踝关节功能评分系
统：优14 例，良13 例，可2 例，差1 例，优良率90 %。仅1例开放性Pilon 骨折患者发生皮肤感染坏死，局部缺损，经清创、VSD 覆
盖负压吸引，待新鲜肉芽组织形成后，行带蒂皮瓣移植术，愈合良好。结论：解剖型锁定钢板的解剖形态好，成角稳定，用于治疗
Pilon 骨折能够恢复关节面的完整性、稳定性，减少并发症的发生，临床效果好，安全性高。 |
| 英文摘要: |
| Objective:To investigate the clinic efficacy and security of anatomic locking plate in the treatment of Pilon fractures.Methods:This retrospective study related to 30 patients with Pilon fractures treated by anatomic locking plate from January 2009 to
December 2012. According to Ruedi-Allgower classification, there were 10 cases of typeⅠ, 8 cases of type II, and 12 cases of type III.
All the patients were treated by using open reduction and plate fixation after contraindication was excluded. Mazur ankle scoring system
was used to evaluate the postoperative surgical effect.Results:All patients were followed up, with a mean bone healing time of 4.1
months.According to the Mazur score system for ankle function, 14 patients were excellent, 13 patients were good, 2 patients were
moderate and 1 patient was bad. The excellent and good rate was 90%. Skin necrosis infection and local defects were found in only 1
case of open Pilon fractures, which were treated by means of debridement, and covering VSD and healed well after the fresh granulation
tissue formed, pedicle skin flap transplantation.Conclusion:The anatomic locking plate could be applied to treat Pilon fractures, with the
advantage of good anatomical form and angle stability, which could restore the integrity and stability of ankle joint, reduce the
complications, and achieve good clinical effects and high safety. |
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