External fixator and limited internal fixation for fractures of high energy Pilon.docVIP

 PAGE \* MERGEFORMAT 9 External fixator and limited internal fixation for fractures of high energy Pilon Of: Caohan Qi, Zhang Shao-Xian, Chen Xingli, Zhao Jinsheng [Abstract] Objective To observe the unilateral external fixator and limited internal fixation of high energy Pilon fracture process, and explore the treatment of Pilon fractures. Methods From January 1998 to May 2006 Pilon fractures treated 26 cases of high-energy, follow-up 8 to 24 months, average 12.3 months. Results fracture the group of patients received early anatomical reduction and fixation, fracture healing well and good function of ankle joint, wound infection rate is low. Conclusion unilateral external fixator and limited internal fixation is the treatment of Pilon fractures of the better high-energy approach. [Keywords:] unilateral external fixation, limited internal fixation, Pilon fractures From January 1998 to May 2006 author ultra ankle external fixator and limited internal fixation of high energy Pilon fractures, 26 cases achieved good clinical results, are as follows. 1 Clinical data 1.1 General Information The group of 26 patients, 21 males and 5 females, aged 26 to 54 years old, average 36.2 years old. By Redi Allgower classification [1], type in 10 cases, type in 16 cases. 12 cases of open , closed 14 of the. by Tscherne Gotzen indexing [2], 8 cases of open grade , in 4 cases, 9 cases of blunt grade , degree in 5 cases. 1.2 The timing of surgery emergency debridement of open fractures, closed the wound, exposed bone with flaps covering the wound as soon as possible. Since lagged clinical soft tissue injury, the authors use more caution on the timing of surgery method, 7 ~ 10 d post-traumatic re- surgery [3], for heavier soft tissue injury extended to 10 ~ 14 d. 1.2.2 the use of surgical patients in this group over the ankle strap hinge Orthofix unilateral external fixator. First in the C-arm fluoroscopy with the first closing in, the talus and tibia e