Pilon骨折的外科治疗英文加翻译.pptVIP

Results All 28 patients were followed up from 6 to 48 months with an average of 24 months, and underwent clinical and radiological examination as outpatients(门诊就诊). 目前六十三页\总数一百零八页\编于十五点 Delayed union was found in two cases; in both it was associated with bone defects of the medial （内侧）tibia. One stage wound closure was performed in 18 patients, two underwent delayed closure of their lateral incisions, and one underwent delayed split-thickness skin grafting. 目前六十四页\总数一百零八页\编于十五点 There were four cases of superficial sloughing of the skin. Two patients developed surface infection with Staphylococcus epidermidis（表皮葡萄球菌） and Acinetobacter baumannii （鲍氏不动杆菌）and one developed deep infection with Acinetobacter baumannii; the infection rate was 10.7% (3/28). 目前六十五页\总数一百零八页\编于十五点 Ten patients (35.7%) showed evidence of posttraumatic arthritis.（创伤后关节炎） According to the AOFAS ankle-hind（后踝） foot function evaluation（评估）, the average score was 85.2 (range, 66 to 98): excellent in 8 patients, good in 14, fair in 5, and poor in 1. 目前六十六页\总数一百零八页\编于十五点 Discussion Choice of surgical methods In patients with type C1 fracture and Gustilo I soft tissue injury due to low-energy forces, pilon fracture was anatomically reduced and treated with debridement and internal plate fixation following AO/ASIF principles. 目前六十七页\总数一百零八页\编于十五点 Open reduction and internal fixation were originally (最初)used,but it is now known that open reduction increases the risk of complications after high-energy trauma. 目前六十八页\总数一百零八页\编于十五点 This is probably related to the amount of dissection（解剖，切开） and stripping （剥离）of soft tissues which is needed to achieve reduction and plate fixation. 目前六十九页\总数一百零八页\编于十五点 Therefore, when performing ORIF procedures,the surgeons tried to limit soft tissue damage and choose suitable internal fixation. 目前七十页\总数一百零八页\编于十五点 The tibia was reduced with a cloverleaf plate, dynamic compression plate or locking compression plate, depending on the level of the fracture and degre