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AO技术治疗Pilon骨折(附46例报告)

Treatment of Pilon Fracture of the Tibia with AO Technique

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【作者】 李旭蔡俊丰李增春尹峰彭庄徐根宝

【Author】 LI Xu , CAI Jun-feng, LI Zeng-chun , et al. Orthopedic Department, Affiliated Dongfang Hospital, Tongji University, Shanghai 200120

【机构】 上海市东方医院骨科上海市东方医院骨科 上海市 200120上海市 200120上海市 200120

【摘要】 目的:评价AO技术治疗Pilon骨折的临床疗效。方法:自1995年7月~2002年6月应用AO技术对46例Pilon骨折行切开复位,支撑钢板及螺钉内固定治疗。术后随访0.5~7年,按Mazur标准进行功能评价。结果:46例患者总优良率84%,其中C1型20例,C2型15例,C3型4例。7例发生切口感染,8例出现创伤性踝关节炎。结论:临床治疗效果与骨折类型及治疗方法有关,运用AO技术治疗Pilon骨折可以取得满意的疗效。

【Abstract】 Objective:To evaluate the value of AO technique for treatment of Pilon fractures. Methods:Forty-six Pilon fractures were treated with open reduction and internal fixation of shoring plate and screw with AO technique from July 1995 to June 2002, the followed-up periods were varied from0. 5-7 years. The results of treatment were evaluated as Mazur’s method. Results: In the 46 cases, 84 % of them were satisfactory, and 20 in type C1 , 15 in type C2,4 in type C3. 7 cases with incisions infection,8 cases with traumatic arthritis. Conclusion:The clinical outcome are affected by the clinical type of the fracture and the method, the result is satisfactory using AO technique.

【关键词】 胫骨骨折内固定植骨
【Key words】 Tibia fractureInternal fixationBone graft
  • 【文献出处】 中国矫形外科杂志 ,The Orthopedic Journal of China , 编辑部邮箱 ,2003年18期
  • 【分类号】R687
  • 【被引频次】7
  • 【下载频次】49
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