l型解剖锁定加接骨板治疗闭合性pilon骨折的疗效观察.pdfVIP

Observation of Curative Effect of Closed Pilon Fracture Treatment with L-LCP Speciality: Orthopaedics of TCM Author: Zhang Guang Kai Tutor: Pro. Li Gang Abstract Objective: To evaluate the effect of closed Pilon fracture treatment with L-LCP. Provide the basis for clinical research. Methods: From September 2010 to October 2011, 25 patients of closed Pilon fracture were treated surgical treatment with L-LCP by Shandong University of TCM Affiliated Hospital. There were 14 cases male and 11 cases female aging from 37 to 69 (mean54.3). There were 9 cases left and 16 cases right. According to the Rüedi-Allgöwer classification, there were 4 cases of Ⅰ, 12 cases of Ⅱ, 9 cases of Ⅲ. All the patients were performed imaging examination and the soft tissue injury assessment, determined the timing of operation and then conducted operation. We should pay attention to protecting the soft tissues intra-operative, and guide the patients to perform the system rehabilitation training, Chinese medicine fumigation and take necessary measures postoperative to prevent the occurrence of complications, and follow-up of patients with 6-12 months, an average of 9 months. Using Mazur’s ankle joint symptom and function score standards to evaluate the curative effect. Results: All the 25 cases in the 12-19 weeks were healed, an average of 15.25 weeks. Application the Mazur’s criterion, excellent in 11, good in 9, fair in 3, and poor in 2, excellent and good rates was 80%. Delayed postoperative wound healing in 2 cases, skin necrosis in 1 cases. All cases had no infection, no fracture shift, no limb shortening, no joints surface collapse, no internal fixation l oosening or fr