|本期目录/Table of Contents|

[1]苏明海,吴 宇,陈建民,等.胫骨远端双钢板治疗复杂Pilon骨折初步报告[J].医学研究与战创伤救治(原医学研究生学报),2014,16(06):608-609，615.[doi:10.3969/j.issn.1672-271X.2014.06.014]
　SU Ming-hai,WU Yu,CHEN Jian-min,et al.Preliminary report on double distal tibial plate for complex Pilon fractures[J].JOURNAL OF MEDICALRESEARCH —COMBAT TRAUMA CARE,2014,16(06):608-609，615.[doi:10.3969/j.issn.1672-271X.2014.06.014]
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胫骨远端双钢板治疗复杂Pilon骨折初步报告()
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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16卷
期数:
2014年06期
页码:
608-609，615
栏目:
出版日期:
2014-11-20

文章信息/Info

Title:
Preliminary report on double distal tibial plate for complex Pilon fractures
作者:
苏明海; 吴 宇; 陈建民; 赵红军
210002 江苏南京,解放军81医院骨科
Author(s):
SU Ming-hai; WU Yu; CHEN Jian-min; ZHAO Hong-jun.
Department of Orthopaedics,81 Hospital of PLA,Nanjing,Jiangsu 210002,China
关键词:
累及胫距关节的胫骨远端骨折; 切开复位; 内固定; 锁定钢板
Keywords:
Pilon fractures;  open reduction;  internal fixation;  locking plate
分类号:
R683.42
DOI:
10.3969/j.issn.1672-271X.2014.06.014
文献标志码:
A
摘要:
目的 总结胫骨远端双钢板治疗累及胫距关节的胫骨远端复杂骨折(Pilon骨折)的手术方法及临床效果。方法 采用胫骨远端前外侧锁定加压钢板联合胫骨内侧重建钢板进 行内固定治疗C2、C3型复杂 Pilon骨折20例,所有病例均先对腓骨骨折采取切开复位内固定。结果 20例均获得随访，时间6~24个月，18例切口一期愈合，2例切口经换药、理疗获得 二期愈合，所有骨折均骨性愈合。按Mazur评定标准:优12例，良5例，可 3例。结论 胫骨远端前外侧锁定加压钢板联合胫骨内侧重建钢板治疗C2、C3 型复杂Pilon骨折能有效防止 再塌陷与骨折块移位，固定牢靠，是一种有效的内固定方法。
Abstract:
Objective To summarize the operative procedures of complex Pilon fractures and the clinical result of using double distal tibial plate for complex Pilon fractures.Methods 20 cases of type C2 and C3 complex Pilon fractures were treated with anterolateral distal tibial locking compression plate combined with medial tibial reconstruction plate.All cases with fibular fractures were treated with open reduction and internal fixation first.Results 20 cases were followed up for 6 to 24 months，incision got primary wound healing in 18 cases,incision got delayed wound healing by physics therapy and dress changing in 2 cases.All distal tibial fractures achieved solid bony union.According to the Mazur criteria,the results were evaluated as excellent in 12 cases,good in 5,and fair in 3.Conclusion Internal fixation with double distal tibial plate for type C2 and C3 complex Pilon fractures can prevent resubsidence and fractures displace effectively and can get reliable fixation.It is an effective internal fixation method.

参考文献/References:

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相似文献/References:

[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.
　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(06):135.

备注/Memo

备注/Memo:
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更新日期/Last Update: 2014-11-20