应用锁定加压接骨板微创治疗闭合性Pilon骨折疗效分析(1)
 |
| 第1页 |
参见附件(2446KB，3页)。
【摘要】 目的 探讨使用锁定加压接骨板应用微创技术(MIPPO)治疗Pilon骨折的方法和临床效果。方法 对57例Pilon骨折患者采用微创技术锁定加压接骨板内固定治疗。结果 术后随访6~18个月。按Burwell-chamley放射学评价标准,解剖复位46例,一般复位11例,复位差0例。按Mazur疗效评定标准,优19例,良26例,可12例,差0例,总优良率78.95%。结论 应用MIPPO技术锁定加压接骨板内固定是治疗Pilon骨折较为理想的方法。
【关键词】Pilon骨折; 骨科固定术;切开复位; 锁定加压接骨板
The treatment of the closed tibial pilon fracture appling minimally invasive pereutaneous plate osteosynthesis with locking compression plate
HUANG Tao,ZHOU Zi-hui,LI Fan,et al.Department of Orthopaedics,The Shanghai First People’s HospitalBaoshan Branch,Shanghai 200940,China
【Abstract】 Objective To report the therapeutic method and clinic effect of the treatment of the closed pilon fracture appling minimally invasive pereutaneous plate osteosynthesis(MIPPO) with locking compression plate.Methods The 57 cases of the closed pilon fracture were received the oparetion appling the MIPPO with locking compression plate.Results Following up after operation,according to Burwell-chamley’s criteria,Radiology results were evaluated as anatomic reduction in 46 patients,general reduction in 11 patients,poor reduction in zero.According to Mazur’s criteria,curative effects were evaluated as excellent in 19 patients,good in 26 patients,fair in 12 patients and poor in zero,Fineness rate was 78.95%.Conclusion The therapeutic method is
DOI:10.3760/cma.j.issn 1673-8799.2010.06.61
作者单位:200940上海市第一人民医院宝山分院骨科(黄涛);
上海市第一人民医院骨科(周孜辉 李凡 陶杰 王秋根)
a effective method for the treatment of the closed pilon fracture appling the MIPPO with locking compression plate.
【Key words】Pilon fracture;Fracture fixtion;Open reduction;Locking compression plate
Pilon骨折是指危及关节面的胫骨远端1/3骨折,占下肢骨折的1%左右,治疗难度较大,且术后并发症多,病残率高,是骨科难题之一。我科2006年6月至2009年6月应用AO锁定加压钢板微创治疗闭合性胫骨Pilon骨折57例,效果满意,现报告如下。
1 资料与方法
1.1 一般资料 有完整病例记录和随访记录的病例57例,男45例,女12例,年龄27~62岁,交通事故损伤26例,高处坠落伤17例,重物压砸伤9例,运动损伤5例。骨折位于左侧者22例,位于右侧者35例。软组织均有不同程度肿胀,其中局部皮肤伴有明显擦伤的13例,合并腓骨骨折43例。
1.2 骨折类型 根据AO/ASIF分型标准,B3型(部分关节内粉碎压缩骨折)3例;C1型(简单的关节面和干骺端骨折)16例;C2型(简单的关节面骨折,干骺端粉碎)26例;C3型(关节面和干骺端均为粉碎性骨折)12例。
1.3 术前准备 入院后即行跟骨结节牵引,置于Brown架 ......
您现在查看是摘要介绍页，详见PDF附件(2446KB，3页)。