胫骨Pilon骨折_____三叶草钢板；

三叶草钢板治疗Pilon骨折的并发症原因分析及防治

http://www.100md.com 《中国矫形外科杂志》 2006年第8期

胫骨Pilon骨折,,三叶草钢板；,胫骨Pilon骨折；,并发症,1材料与方法,2结果,3讨论,参考文献：

     摘要：[目的]观察三叶草钢板治疗Pilon骨折的并发症的原因及防治措施。[方法]1999年7月～2003年12月用三叶草钢板治疗Pilon骨折42例。男30例，女12例；年龄15～62岁，平均453岁；开放性骨折9例，闭合性骨折33例；参照RuediAllgower骨折分型方法，Ⅰ型15例、Ⅱ型18例、Ⅲ型9例。[结果]42例均得到随访，平均28个月(14～60个月)；骨折愈合11～26周，平均16周。术后并发症主要有伤口浅表感染6例，深部感染2例，踝关节严重创伤性关节炎2例，踝关节强直1例。踝关节功能根据Bourne标准，优19例，良17例，可4例，差2例，优良率为857%。[结论]三叶草钢板治疗Pilon骨折疗效显著，但是存在一定的并发症，在临床使用中必须引起高度重视。

    关键词：三叶草钢板；胫骨Pilon骨折；并发症

    Analysis of causes and prevention of complications of the tibial Fourtytwo Pilon fractures treated with Ⅲ leaves type plate∥LI Kuangxin,LI Jianghua,SHI Chenhui,et al.Department of Orthopaedics, The First Affiliated Hospital of Medical College of Shihezi University,Xingjiang 832008

    Abstract：[Objective]To observe complications of tibial pilon fractures with Ⅲ leaves type plate and analysis of causes and prevention of complications.[Method]Fourtytwo cases of the final pilon fractures were treated with Ⅲ leaves type plate from July 1999 to December 2003.There were 30 males and 12 females, the average age was 45.3 years (ranged,15～62 years),9 cases were open fracture and 33 cases were open fracture. According to the RuediAllgower classification, there were 15 cases of type Ⅰ fracture, 18 cases of type Ⅱ fracture and 9 cases of type Ⅲ fracture.[Result]Fourtytwo cases were followed up for an average of 28 months(ranged,14～60 months),The time to fracture union averaged 16 weeks(ranged,11～26 weeks).The complications included infection in 6 cases,cases with severe traumatic arthritis and 3 cases with ankylosis.After evaluated according to the criteria of Bourne, there were 19 cases assessed as being excellent, 17 as good and 2 as poor, the excellent and good rate was 85.7%.[Conclusion]Ⅲ leaves type plate is a good internal fixation for tibial pilon fractures, but the complications should be prevented. ......

百拇医药网 http://www.100md.com/html/DirDu/2006/06/20/01/44/45.htm

您现在查看是摘要页，全文长 7127 字符。