36 cases of treatment of Pilon fractures.docVIP

 PAGE \* MERGEFORMAT 6 36 cases of treatment of Pilon fractures Of: Zhang Jian, Zhang Rong, ZENG Sheng, Tang Jin [Abstract] 36 cases of Pilon fractures of treatment methods and timing. Postoperative follow-up 8 months to 5 years, an average of 2.3 years. By Mazur evaluation standard, excellent in 16 cases, good in 14 cases, 6 cases. [Keywords:] tibial fractures; operation time; fixation Our hospital in March 2002 ~ June 2009 Pilon fractures were treated in 36 patients have achieved satisfactory therapeutic effects, are reported below. Clinical data 1 General Information of this group 28 males, 8 females; aged 35 to 72 years old, average 43.2 years old. The causes of injury: road traffic injuries in 8 cases, fall injury in 25 cases, heavy injured in 3 patients. Right side of the 21 cases, 15 cases left; open fractures in 5 cases, 29 cases of .16 cases with closed fracture fibula fracture, 5 cases with lower tibiofibular joint separation. According to Ruedi Allgower [1] type: type in 6 cases, type in 20 cases , type in 10 cases. 2 treatment of closed fractures of six cases Pilon external fixation with plaster for 4 weeks in case of non-weight-bearing functional activities of independent, progressive weight-bearing after 8 weeks. Closed Pilon type fracture in 3 cases with calcaneal traction, the traction under the state Manipulative reduction, 4 weeks after removal of calcaneal traction, gradual weight-bearing functional exercise. Some methods of closed reduction Pilon fracture and unsatisfactory in 4 cases of closed fracture Pilon 8 cases with open reduction, bone grafting and internal fixation. Open Pilon fractures in 5 patients were given emergency debridement, reduction and external fixation [2], patients with poor reduction, line period of fixation, that is, step by step extended by open reduction and internal fixation [3]. Surgery under epidural anesthesia, open injury in accordance with the principles of debridement, sterile