【摘要】 目的评价异型钢板内固定治疗Pilon骨折的疗效。方法对84例Pilon骨折患者分别予以跟骨持续骨牵引、普通钢板及克氏针内固定和异型钢板内固定进行治疗。结果各病例术后进行随访,随访时间6个月至2年,跟骨持续骨牵引治疗优良率为42%;普通钢板及克氏针内固定治疗优良率为61%;异型钢板内固定治疗优良率为72%。结论异型钢板内固定治疗Pilon骨折具有并发症少、远期踝关节功能最大限度保留和恢复的优势,是一种良好的治疗方法。更多还原

【Abstract】 Objective To investigate the effect of internal fixative operation with special-shaped plate on Pi- lon fracture.Methods 84 cases of Pilon fracture were treated respectively by continuous skeletal traction of calca- neus,internal fixative operation with general steel plate or Kirschner wire,or internal fixative operation with special- shaped plate.Results All the cases were followed up for 6 months to 2 years postoperatively.The rate of being ex- cellent and fine of 3 groups treated by 3 different methods was 42%,61% and 72 % separately.Conclusion Inter- nal fixative operation with special-shaped plate is a good way to treat Pilon fracture for its less complication and more recuperation and retention of function for anklebone.更多还原