【摘要】 目的 探讨有限内固定结合外固定架治疗开放性胫骨Pilon骨折的临床效果。方法 对25例开放性胫骨Pilon骨折行克氏针螺钉、可吸收螺钉有限内固定结合T形外固定。结果 25例随访中伤口Ⅰ期愈合18例，Ⅱ期愈合7例，骨折全部愈合。按Teeny等方法评价优7例，良13例，可3例，差2例。结论 有限内固定结合外固定架固定治疗开放性胫骨Pilon骨折，疗效确切，对软组织干扰小，可减少并发症和致残率。

    【关键词】 Pilon骨折；开放性骨折；有限内固定；外固定架

    【Abstract】 Objective To investigate the clinical effects of treatment of open Pilon fractures of tibia through limited internal fixation and external fixation.Methods 25 cases of open Pilon fractures by Kirschner wires,absorbable screws limited internal fixation and “T” external fixation,were enrolled,whose wounds and fractures were observed.Results All cases were followed up,18 got Ⅰ-phase wound healing,the other 7Ⅱ-phase wound healing;all of them got fracture healing.According to Tenny value ways of ankle joint,the functional recovery was excellent 7 cases,good in 15,fair in 3 and poor in 2.Conclusion The treatment of open Pilon fractures of tibia through limited internal fixation with external fixation,has exactly effects,little damages to soft tissue,small complications and rate of disability. ......