External fixator in the treatment of pilon fractures Analysis.docVIP

 PAGE \* MERGEFORMAT 10 External fixator in the treatment of pilon fractures Analysis 【Key Words】 external fixator External fixator is simple, less traumatic, not to increase the partial fracture of the wounds can be pressurized as needed, stretching, or maintain a balance. Post-elastic fracture can be converted to a fixed and so on. Our hospital since April 2004 to March 2007 a total of 27 cases of pilon fracture in the use of external fixation achieved good effect, the report is as follows. 1 Data and methods 1.1 General Information The group of 27 patients, male 22 cases, female 5 cases. Age 23 to 52 years, with an average 34.5 years of age. Conventional CT. By Ruedi-Allgower classification [1]: I type in 7 cases, II-type 12 cases, III-type 8 cases. Under this group of patients with fibular fractures in 23 cases, no later than 26h after injury treatment. One open fractures in 16 patients. 1.2 surgical First, a thorough debridement of open fractures, there fibula fibula fracture patients were first cut a check 5 ~ 8 holes 1 / 3 type plate fixation, rehabilitation of fibula length (with local skin contusion were II-phase) [2,3] . I-type fracture in the tibia near and far-side installation of T-type external fixator, in part to make a small incision in patients with distal fractures plus 1 to 2 lag-screw fixation. II-type fracture reduction after anesthesia traction techniques, see Perspective on the basic fracture reduction, installation of T-cross joint fixation with external fixator. After injury, 7 ~ 12d, until swelling subsided, soft tissue basically resumed [4], removal of external fixator line incision under direct vision reduction, distal tibial fixation with anatomical plate, so that anatomic reduction of articular surface as possible. III fracture reduction techniques after anesthesia traction perspective, see the basic fracture reduction, and put on T-cross joint fixation with external fixator, 7 ~ 12d af