骨折医疗课件.pptVIP

骨折医疗课件;定义:pilon骨折是指累及胫距关节面的胫骨远端骨折。胫骨Pilon骨折目前尚没有明确的定义，一般是指胫骨远端1/3波及胫距关节面的骨折，胫骨远端关节面严重粉碎，骨缺损及远端松质骨压缩。常合并有腓骨下段骨折（约75%～85% )和严重软组织损伤。;Definition：Pilon fracture refers to distal tibia fractures which involve tibia-astragalus articular surface. Pilon fracture haven’t got clear definition yet, it usually refers to third distal tibia fractures spread from the joint. The distal tibial articular surface always serious shattered, bone defect and remote cancellous bone compression. It usually Associated with the lower part of fibula fractures (about 75% ~ 85%) and serious soft tissue injury. ;名称来源：1911年首先由法国放射学家Destotti提出“tibial pilon”一词，他把胫骨远端干骺端的形状描述为像药剂师的杵棒。胫骨远端关节面形似天花板,1950年Bonin 称之为“tibial platfond”，因此pilon骨折又称为platfond 骨折。;Definition origin:In 1911, the French radiologist Destotti firstly put forward the word --tibial pilon“. He described the shape of distal tibia as the pharmacist’s pestle (pilon). The distal tibial articular surface is also looks like ceiling;In 1950,bonin called it “tibial platfond”,so pilon fracture can be called Platfond fracture. ; 损伤机制：胫骨Pilon骨折最常发生于高处坠落、车祸骤停、滑雪或绊脚前摔。胫骨轴向暴力或下肢的扭转暴力是胫骨远端关节面骨折的主要原因。两种不同的损伤机制导致Pilon骨折，其预后亦不同,受伤时踝关节的位置与骨折类型密切相关. ;Injure mechanism:Tibial Pilon fractures occur most often in the fall, crash arrest, skiing or stumbling before the fall. Axial tibial violence or torsion violence of lower extremity are the main reason for distal tibial articular surface fractures. Two different mechanisms of injury leading to different prognosis of Pilon fracture. The position of ankle joint when it hurts and the type of fracture are closely related.;骨折高度不稳定和关节软骨损伤严重。治疗难度大，并发症多，致残率高，是最具挑战性的骨科难题之一。_内容丰富点。列出几点.胫骨远端关节面严重粉碎，骨缺损及远端松质骨压缩。常合并有腓骨下段骨折（约75%～85% )和严重软组织损伤;Fracture characteristic:It is a highly unstable fracture, and have severe articular cartilage damage. Treatment is difficult, with many complications, high disability rate, and it is one of the most challenging orthopaedic problems.;骨折分型：骨折分型的目的主要还是在于如何指导治疗及提示预后情况。1969年Ruedi和Aug