CAJ | 학술논문

目的:探讨手术切开复位内固定治疗Ⅱ、Ⅲ型Pilon骨折的治疗效果.方法:自2010年1月~2013年1月我院共收治pilon骨折患者33例,其中对19例Pilon骨折患者进行术后平均1年的随访.结果:按Helfet踝关节功能评定标准:13例Ⅱ型损伤的病人中,优良率84%,Ⅲ型损伤的6例中,优良率62%,总优良率为78%.术后骨折复位影像学标准解剖复位12例,复位一般6例,复位差1例.骨折全部愈合,愈合时间12周~52周,平均15.2周,其中骨折延迟愈合3例.结论:采用切开复位内固定治疗Pilon骨折疗效确切,是一种较好的治疗措施.
목적:탐토수술절개복위내고정치료Ⅱ、Ⅲ형Pilon골절적치료효과.방법:자2010년1월~2013년1월아원공수치pilon골절환자33례,기중대19례Pilon골절환자진행술후평균1년적수방.결과:안Helfet과관절공능평정표준:13례Ⅱ형손상적병인중,우량솔84%,Ⅲ형손상적6례중,우량솔62%,총우량솔위78%.술후골절복위영상학표준해부복위12례,복위일반6례,복위차1례.골절전부유합,유합시간12주~52주,평균15.2주,기중골절연지유합3례.결론:채용절개복위내고정치료Pilon골절료효학절,시일충교호적치료조시.
@@@@Objective:To explore the efficacy of treatment for open reduction and internal fixation of type Ⅱ, Ⅲ Pilon fracture . Methods: From January 2010 to January 2013 in our hospital were treated in 33 patients with pilon fractures, including to average 1-year follow-up of 19 patients with Pilon fracture patients after the operation. Results: by the Helfet assessment standards of ankle function :13 cases of Type Ⅱ injury patients, 84% excellent rate, Ⅲ injury in 6 cases, 62% good, the excellent and good rate of 78percent. The outcone of imaging standard of Postoperative fracture reduction: 12 cases were anatomical reduction,6cases were functional reduction and one case was poor. The healing-time ranged from 12 to 52weeks,with a mean time of 15.2 weeks.Delayed union occurred in three cases.Conclusion:Open reduction and internal fixation for the treatment of Pilon fractures, it is a better therapeutic measures.