|本期目录/Table of Contents|

[1]黄 洪,储 辉,徐志明,等.训练伤致胫骨Pilon骨折27例报告[J].医学研究与战创伤救治(原医学研究生学报),2012,14(02):135-137.
　HUANG Hong,CHU Hui,XU Zhi-ming,et al.Tibial Pilon fractures injury caused by training: a report of 27 cases[J].JOURNAL OF MEDICALRESEARCH —COMBAT TRAUMA CARE,2012,14(02):135-137.
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训练伤致胫骨Pilon骨折27例报告()
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《医学研究与战创伤救治》（原医学研究生学报）[ISSN:1672-271X/CN:32-1713/R]

卷:
第14卷
期数:
2012年02期
页码:
135-137
栏目:
出版日期:
2012-03-20

文章信息/Info

Title:
Tibial Pilon fractures injury caused by training: a report of 27 cases
文章编号:
1672-271X(2012)02-0135-03
作者:
黄 洪1; 储 辉1; 徐志明2; 俞 航1
215007 江苏苏州，解放军101医院100临床部，1.骨科，2.影像科
Author(s):
HUANG Hong1; CHU Hui1; XU Zhi-ming2; YU Hang1.
1.Department of Orthopaedic,2.Department of Medical Imaging,100 Clinical Branch of 101 Hospital of PLA,Suzhou,Jiangsu 215007,China
关键词:
训练伤; 累及胫距关节的胫骨远端骨折; 关节面重建; 切开复位内固定
Keywords:
training injury;  Pilon fracture;  articular surface reconstruction;  open reduction internal fixation
分类号:
R683.42
DOI:
-
文献标志码:
A
摘要:
目的 探讨训练伤累及胫距关节的胫骨远端骨折(Pilon骨折)的特点、治疗方法及临床疗效。方法 收治训练伤致Pilon骨折27例，将骨折分为4型，Ⅰ型2例，Ⅱ型9例，Ⅲ型12例，Ⅳ型4例。采用切开复位内固定(ORIF)18例，有限内固定结合支架外固定7例、石膏固定2例，对其临床疗效进行比较分析。 结果 随访1~10年，平均4.8年，优良率为81.48%，其中I型100.00%，Ⅱ型88.89%，Ⅲ型83.33%，IV型50.00%。结论 Ⅰ型适合保守治疗，Ⅱ型适合ORIF， Ⅲ型多数通过手术能精确重建关节面，采用ORIF，Ⅳ型和部分Ⅲ型骨折，骨折严重和关节面难以达到解剖复位，适合有限内固定结合外固定支架，术后早期活动，并最大程度恢复踝关节功能。
Abstract:
Objective To explore the characteristics of Pilon tibial fracture in treatment and the clinical effect.Methods 27 cases with Pilon fracture were divided into four types: 2 cases of type Ⅰ,9 cases of type Ⅱ,12 cases of type Ⅲ and 4 cases of type Ⅳ.18 cases of the all were treated by open reduction internal fixation(ORIF),7 by limited internal fixation combined with external fixation stents and the surplus 2 cases by plaster cast.The clinical curative effects were compared.Results All the patients were followed-up for 1 to 10 years(mean 4.8 years).The satisfaction rate of type Ⅰ was100.00%,type Ⅱ was 88.89%,type Ⅲ was 83.33% and type Ⅳ was 50.00%.Conclusions Type Ⅰ fits conservative treatment and type Ⅱ fit ORIF.Most type Ⅲ fracture can be cured by accurate reconstruction surgery.For factures of type Ⅳ and some type Ⅲ,it is difficult to meet the anatomical reattachment of seriously damaged bone and joint surface using ORIF,so that limited internal fixation combined with external fixation stents can be a good choice.Early postoperative activities will be good for recovery of the ankle function.

参考文献/References:

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备注/Memo

备注/Memo:
-
更新日期/Last Update: 2012-03-20