有限内固定结合外固定支架治疗Pilon骨折.pdf

58 临床骨科杂志 Journal of C lini al Orthop aedi s 2005 F eb; 8( 1) P ilon 徐跃根, 卢厚微, 吴可沁, 杨东方, 沈卫峰 : P ilon P ilon 14 Ru ediA llgow er: 3 , ! 5 , ∀ 6T eeny , 6~ 5 , 41; 6 ~ 24 ( 105 ) , 9 2 2 1 P ilon , : ; ; : R 68342; R6 87 3 : A : 1008- 02 87 ( 2005) 0 1- 0058- 02 L im ited internal fixation combined with external fixation in the treatment of Pilon frature X U Yuegen, L UH ouw ei, WUK eqin, YAN G D ongfang, SHEN Weifeng (D ep t of Orthop aedi s, the 1stH osp ital of J iax ing, J iax ing, Zhej iang 314000, China) Abstract: Objective T o ana ly ze the effec t o f ex terna l f ixation com bined w ith lmi ited interna l f ixa tion fo r P ilon frac tu res M ethods 14 cases of P ilon fracturesw ere treated by ex terna l fixation and lmi ited in ternal fix ation A ccord ing to Ru ediA llgow er c lassif ication, the fractures w ere class ified as typ e in 3 cases, type ! in 5, type ∀ in 6 T he f inal outcom es o f treatm ent w ere evalua ted based on c linical ra ting of ank le jo in t function R esults A ll cases w ere fo llow ed up for an ave rage tmi e o f 41 years A ll frac tures hea led in an averag e tmi e o f 105 w eek s A ccording to the ank le score of T eeny, the results w ere ex ce llent in 9 cases, good in 2, fa ir in 2 and poo r in 1 Conclusions Exter nal f ixation com b ined w ith lmi ited inte rnal f ix ation has som e adv antages o f few er comp lication s and good function re covery in the treatm ent o f P ilon fracture K ey wrods: external fixators; tibial fractures; osteo tom y 1998 10 , 6 11, 2 P ilon 14 , , : , 1 d 1 C X 1