摘要
目的:比较分析应用三种不同治疗方法治疗Pilon骨折的疗效.方法:对82例Pilon骨折患者分别采用保守治疗方法、切开复位钢板内固定法、外固定支架超关节固定法等三种不同治疗方法进行治疗.结果:三种治疗方法后平均随访2年,对患者踝关节进行评分,传统治疗的优良率88.20%;切开复位钢板内固定的优良率92.60%;外固定支架超关节固定法的优良率97.40%.结论:Pilon骨折三种治疗方法的比较,后两种方法治疗患者踝关节功能恢复比保守治疗效果好,而外固定支架超关节固定方法是治疗Pilon骨折的最佳选择,临床上值得推广应用.
Objective ：To evaluate and compare the curative effect of three methods treating Pilon fracture. Methods ：81 cases of this fracture were treated with conservative treatment, open reduction and internal fixation with steel plate and ultra- articular fixation with external fixator respectively. Results： All patients were followed up for average 2 years. Excellent effective rate for conservative treatment was 88.2 %, that for open reduction and internal fixation with steel plate was 92.6 % and that for ultra - articular fixation with external fixator was 97.4 % . Conclusion： The curative effect of the latter two methods is better than that of conservative treatment. The ultra - articular fixation with external fixator treating Pilon fracture shows the best effect and is worth popularizing in the clinical activity.
出处
《内蒙古民族大学学报（自然科学版）》
2008年第2期208-209,共2页
Journal of Inner Mongolia Minzu University：Natural Sciences
关键词
PILON骨折
传统
内固定
外固定架
Pilon fracture
Conservative
Internal fixation
External fixator
