CAJ | 학술논문

目的：探讨解剖锁定钢板内固定治疗Ruedi-Allgower II、III型胫骨Pilon骨折的临床疗效。方法回顾分析2010年1月至2012年10月我科运用延期切开复位锁定解剖钢板内固定方法治疗Ruedi-Allgower II、III型Pilon骨折42例临床资料，采用Mazur等制定的踝关节症状与功能评分系统评定治疗效果。结果本组全部病例术后随访6～30个月。按Mazur评分标准：优16例，良20例，可4例，差2例，优良率85．7％。结论胫骨远端锁定解剖钢板内固定治疗胫骨远端Pilon骨折手术创伤小，稳定性好，骨折愈合率高，并发症少，关节功能恢复满意，是治疗Pilon骨折的有效措施。
목적：탐토해부쇄정강판내고정치료Ruedi-Allgower II、III형경골Pilon골절적림상료효。방법회고분석2010년1월지2012년10월아과운용연기절개복위쇄정해부강판내고정방법치료Ruedi-Allgower II、III형Pilon골절42례림상자료，채용Mazur등제정적과관절증상여공능평분계통평정치료효과。결과본조전부병례술후수방6～30개월。안Mazur평분표준：우16례，량20례，가4례，차2례，우량솔85．7％。결론경골원단쇄정해부강판내고정치료경골원단Pilon골절수술창상소，은정성호，골절유합솔고，병발증소，관절공능회복만의，시치료Pilon골절적유효조시。
Objective To evaluate the clinical effect of internal fixation with locking anatomical plate on the treatment of Ruedi -All-gower II and III Pilon fracture .Methods From January 2010 to October 2012 ,42 patients with Pilon fractures were treated with the the de-layed open reduction and fixation with locking anatomical plate .All cases were evaluated by Mazur score system .Results All the 42 patients were followed up for 6~30 months.Clinical effects were assessed by Mazur evaluating standard .16 cases were excellent ,20 cases were very good,4 cases were common and only 2 cases were poor.The excellent rate was 85.7%.Conclusion The internal fixation with locking ana-tomical plate on treatment of Pilon fracture has the advantage of small operation wound ,good stability ,high bone healing rate ,less complication and good recovery of ankle function .