Pilon fractures of the treatment and prevention of complications.doc

 PAGE \* MERGEFORMAT 9 Pilon fractures of the treatment and prevention of complications Author: Yu Ming Tang Fang Wen Zhong Jingliang root pilon fracture is related to weight-bearing articular surface of distal tibial fractures, also known as dome tibial fractures. the fracture involving the ankle joint due to weight-bearing surface of the tibial articular surface and produce different levels of damage, the high incidence of complications and comorbidities, and poor blood supply to the distal tibia and soft tissue coverage, lack of good protection, it has been considered clinically difficult to treat intra-articular fractures in our hospital from May 2003 to June 2008 this type of fracture in 32 cases with surgical treatment , satisfactory results are as follows. 1 Clinical data 1.1 General Information The group of 32 patients, 20 males and 12 females, aged 20-50 years, mean 35 years of age. The causes of injury: road accident in 8 cases, falls injury in 20 cases, tripping sprain in 4 cases. Open fractures in 6 cases, 26 cases of closed fractures. 1.2 Patients admitted to hospital after treatment to preventive antibiotics, such as mannitol and Danshen injection treatment, while preparing for surgery, 6 patients developed a positive fractures were treated with debridement and fixation of emergency, 26 patients after injury in closed fracture 8 hours of emergency surgery expert in 18 cases, eight cases of more than 12 hours due to injuries and obvious local swelling was significantly associated with tension blisters, heel first, to give continuous traction, until the swelling subsided, soft tissue conditions, 14 days after surgery to improve this The patients were fibular fracture, first take a fibula fracture after a lateral incision reduction with reconstruction plate, or one third of the fibula distal anatomical tubular steel plate. re-medial tibial incision, clean and ankle fracture hole, the wedge pressure, the shift of the articular