CAJ | 학술논문

目的探讨关节镜辅助下微创经皮钢板内固定(MIPPO)手术治疗Pilon骨折的临床疗效.方法 33例Pilon骨折患者按Ruedi-Allgower分型,采用关节镜辅助下MIPPO手术治疗,术后随访时间12～84个月.结果优22例,良8例,可3例,优良率为90.9％.结论关节镜辅助下MIPPO手术治疗Pilon骨折是一种有效方法,具有愈合好、创伤小、并发症少等优点.
목적 탐토관절경보조하미창경피강판내고정(MIPPO)수술치료Pilon골절적림상료효.방법 33례Pilon골절환자안Ruedi-Allgower분형,채용관절경보조하MIPPO수술치료,술후수방시간12～84개월.결과 우22례,량8례,가3례,우량솔위90.9％.결론 관절경보조하MIPPO수술치료Pilon골절시일충유효방법,구유유합호、창상소、병발증소등우점.
Objective To assess the clinical threatment results of pilon fractures managed with arthroscopyassisted minimally invasive percutaneous plate osteosynthesis (MIPPO).Methods 33 patients with pilon fractures were classified into 3 groups according to the Ruedi-Allgower classification:type Ⅰ in 26 cases,type Ⅱ in 5 cases,type Ⅲ in 2 cases,including 29 males and 4 females,aged 22 to 51 years,mean 31.5 years of age.All patients were treated with arthroscopy-assisted MIPPO with the postoperative follow-up time of 12 to 84 months.Results The clinical surgery efficacy according to Mazur's criterion was evaluated as excellent in 22 cases,good in 8 cases,fair in 3 cases.The excellent and good rate was 90.9％.Conclusion Arthroscopy-assisted MIPPO surgical treatment is an effective method for Pilon fractures with the advantages of good healing,minimal trauma and less complications,it is worthy of clinical application.