CAJ | 학술논문

目的探讨严重Pilon骨折的手术显露及复位固定. 方法采取经踝前内侧人路+经腓骨骨折或腓骨截骨入路显露胫距关节的方法,直视下复位,先固定胫骨再固定腓骨,共处理Rüedi - Allg(o)werⅢ型或AO/OTA的C3型严重Pilon骨折11例. 结果所有骨折复位效果均较满意,其中9例创口Ⅰ期愈合,2例Ⅱ期愈合,无骨质感染.骨折及截骨处均获得愈合. 结论通过踝内侧及经腓骨显露胫骨内外侧的双入路手术方法能完整显露胫距关节,有利于移位骨块的复位与固定,对于严重Pilon骨折术后能获得一个良好的近期复位固定效果.
목적 탐토엄중Pilon골절적수술현로급복위고정. 방법 채취경과전내측인로+경비골골절혹비골절골입로현로경거관절적방법,직시하복위,선고정경골재고정비골,공처리Rüedi - Allg(o)werⅢ형혹AO/OTA적C3형엄중Pilon골절11례. 결과 소유골절복위효과균교만의,기중9례창구Ⅰ기유합,2례Ⅱ기유합,무골질감염.골절급절골처균획득유합. 결론 통과과내측급경비골현로경골내외측적쌍입로수술방법능완정현로경거관절,유리우이위골괴적복위여고정,대우엄중Pilon골절술후능획득일개량호적근기복위고정효과.
Objective To investigate surgical exposure,reduction and fixation of the severe Pilon fractures. Methods A total of 11 patients with severe Pilon fractures (Rüedi-Allgwer type Ⅲ or AO/OT type C3 ) were managed by anteriormedial malleolar approach in combination with transfibular fracture or fibular osteotomy approach to reveal the tibiotalar joint.Reduction was performed under direct vision and then the tibia was fixed followed by fibula fixation. Results All patients obtained satisfactory bone reduction including nine patients with Ⅰ stage wound healing and two with Ⅱ stage wound healing.No sclerotin infection occurred.The fractures as well as the osteotomy sites were healed. Conclusions The double operative approaches can completely expose the tibiotalar joint,favor the reduction and fixation of the displaced bone fragments and attain satisfactory short-term reduction and fixation effects in the treatment of severe Pilon fractures.