【摘要】 目的 :探讨Pilon骨折术前跟骨牵引的重要性及Pilon骨折的治疗方法的适应证。方法 :治疗 32例 34肢 ,Pilon骨折Ⅰ型 6例 ,Ⅱ型 2 1例 ,Ⅲ型 5例。采用闭合复位石膏外固定 6例 ,跟骨牵引辅以小夹板外固定 4例 ,胫骨远端解剖钢板 17例 ,有限手术切开螺钉内固定单臂外固定支架固定 5例 ,有 2例采用自体髂骨植骨 ,3例采用人工骨植骨。结果 :随访 4个月～ 3.5年 ,优良 2 3例 ,可 5例 ,差 4例。结论 :根据Pilon骨折的不同分型 ,采用合适的治疗方法更多还原

【Abstract】 Objective:To investigate the importance of calcanceal traction before operation of Pilon fracture and its indications.Methods:Thirty-two cases(34 limbs) of Pilon fracture were treated.According to Rüedi-Allgower classification,6 cases were classified as typeⅠ,21 cases typeⅡ,and 5 cases typeⅢ.Six cases were treated with anipalative reduction and external fixation by cast,4 cases with calcanceal traction and spliats fixation,17 cases with anatominal plate of distal tibia and 5 cases with limited open reduction and internal screw fixation combined with unilateral external fixation.Two cases received auto-ilium transplant and 3 cases artificial bone transplant.Results:All the cases were followed up for 4 months to 3.5 years.The results were excellent in 23 cases,good in 5 and poor in 4.Conclusions:proper measures should be taken according to the types of Pilon fracture.更多还原