【摘要】 目的探讨切开复位内固定结合同种异体骨移植治疗Rüedi-Allgower Ⅲ型Pilon骨折的疗效。方法对26例Rüedi-Allgower Ⅲ型Pilon骨折采用切开复位内固定结合同种异体骨移植治疗。术后随访,评定该治疗方法的疗效。结果术后随访9~20个月。末次随访时按AOFAS评分标准评定疗效:优17例,良5例,可3例,差1例,优良率84.62%。结论切开复位内固定结合同种异体骨移植是Rüedi-Allgower Ⅲ型Pilon骨折可靠的治疗方法,骨折愈合率高,关节功能恢复良好。更多还原

【Abstract】 Objective To investigate the effect of open reduction and internal fixation combined with allogenic bone graft in the treatment of Rüedi-Allgower type Ⅲ Pilon fracture. Methods 26 cases of Rüedi-Allgower type Ⅲ Pilon fracture were treated with open reduction and internal fixation combined with allogenic bone graft. The effect of the treatment was evaluated after operation. Results All patients were followed up for 9 ~ 20 months. At the last follow-up, the AOFAS score was used to evaluate the curative effect. The results were excellent in 17 cases, good in 5 cases, fair in 3 cases and poor 1 case. The rate of excellent and good was 84.62%. Conclusion The treatment of Rüedi-Allgower type Ⅲ Pilon fracture with open reduction and internal fixation combined with allogenic bone graft is a reliable method for the treatment of Rüedi-Allgower type Ⅲ Pilon fractures, which provides a high union rate and good functional outcome.更多还原