CAJ | 학술논문

目的：探讨用切开复位内固定手术治疗Pilon骨折的临床效果。方法：对2007年1月～2012年12月期间我院收治的68例Pilon骨折患者的临床资料进行回顾性研究。我院根据Ruedi和Allgower的分型标准对这68例患者进行切开复位钢板螺钉内固定术治疗。治疗结束后，我院根据其踝关节功能评分对其愈合情况进行评价，并记录其骨折的愈合情况，术后发生切口感染、伤口裂开、截肢等并发症的情况。结果：这68例患者的治疗优良率为76.47%。在手术后，共有8例患者发生了浅度皮肤软组织感染，占患者总数的12%。结论：用切开复位内固定手术治疗Pilon骨折具有手术操作简单，临床效果显著，患者术后并发症少、恢复快等优点。该方法值得在临床上推广使用。
목적：탐토용절개복위내고정수술치료Pilon골절적림상효과。방법：대2007년1월～2012년12월기간아원수치적68례Pilon골절환자적림상자료진행회고성연구。아원근거Ruedi화Allgower적분형표준대저68례환자진행절개복위강판라정내고정술치료。치료결속후，아원근거기과관절공능평분대기유합정황진행평개，병기록기골절적유합정황，술후발생절구감염、상구렬개、절지등병발증적정황。결과：저68례환자적치료우량솔위76.47%。재수술후，공유8례환자발생료천도피부연조직감염，점환자총수적12%。결론：용절개복위내고정수술치료Pilon골절구유수술조작간단，림상효과현저，환자술후병발증소、회복쾌등우점。해방법치득재림상상추엄사용。
objective:analyze the effect of operation treatment of Pilon fracture, and discuss the effective operation skills. Methods:Open reduction and internal fixation using plate and screw were used to treat 68 patients with pilon fractures from January 2007 to December 2012 according to Ruedi and Allgower classification standards. Treatment effect was evaluated according to the ankle score. The fracture healing, postoperative infection, wound dehiscence, and amputation complications were recorded. Results:The excellent and good rate was 76.47%. 8 cases had superficial skin and soft tissue infection after operation. Conclusions :Open reduction and internal fixation using plate and screw in Pilon fracture had few complications, and good fracture healing.