CAJ | 학술논문

目的：探讨Pilon骨折的手术治疗效果。方法对2008年5月～2013年4月我科收治的14例Pilon骨折患者进行手术治疗，按照Rtiedi-Allgower分型标准均属于Ⅲ型，采取经踝前外侧入路＋经腓骨后外侧显露胫距关节面的方法，直视下复位胫距关节面。结果骨折复位效果均较满意，其中11例创口Ⅰ期愈合，3例患者Ⅱ期愈合，骨折处均骨性愈合，无术后骨髓炎发生。结论通过内踝外侧及经腓骨后外侧入路显露的双侧入路手术方法，能完整显露胫距关节面，在直视下复位有利于移位骨折块的复位及固定，对于严重Pilon骨折具有较好的治疗效果。
목적：탐토Pilon골절적수술치료효과。방법대2008년5월～2013년4월아과수치적14례Pilon골절환자진행수술치료，안조Rtiedi-Allgower분형표준균속우Ⅲ형，채취경과전외측입로＋경비골후외측현로경거관절면적방법，직시하복위경거관절면。결과골절복위효과균교만의，기중11례창구Ⅰ기유합，3례환자Ⅱ기유합，골절처균골성유합，무술후골수염발생。결론통과내과외측급경비골후외측입로현로적쌍측입로수술방법，능완정현로경거관절면，재직시하복위유리우이위골절괴적복위급고정，대우엄중Pilon골절구유교호적치료효과。
Objective To study the surgical treatment effects of Pilon fractures .Methods 14 patients with Pilon fractures were admitted in our department from May ,2008 to April,2008 surgery treatment and all of them belonged to type Ⅲ by Rtiedi-Allgower classification standard .The surface of tibial astragaloid joint was reestablished openly through anterolateral ankle approach and exposing tibial articular surface through post-lateral peroneal approach .Results The operation treatment of effect was satisfactory , including 11 cases with wound healing in stage Ⅰ and 3 ones in stage Ⅱ.All cases obtained synostosis and no postoperative osteomyelitis occurred .Conclusions This method can completely expose the surface of tibial astragaloid joint and is conducive to the fracture reduction and fixation ,which has a good therapeutic effect on Pilon fracture .