CAJ | 학술논문

目的：：观察解剖锁定钢板治疗复杂Pilon骨折临床效果。方法：对84例复杂Pilon骨折采用解剖锁定钢板治疗，观察骨折愈合情况、并发症、踝关节功能评分。结果：患者均获12～24个月随访，平均18个月，所有患者骨折均愈合，未出现骨折延迟愈合及骨不连。 Mazur评价标准：优60例、良28例、可6例。结论：采用解剖锁定钢板治疗复杂Pilon骨折临床效果满意，是切开复位内固定复杂Pilon骨折的理想选择。
목적：：관찰해부쇄정강판치료복잡Pilon골절림상효과。방법：대84례복잡Pilon골절채용해부쇄정강판치료，관찰골절유합정황、병발증、과관절공능평분。결과：환자균획12～24개월수방，평균18개월，소유환자골절균유합，미출현골절연지유합급골불련。 Mazur평개표준：우60례、량28례、가6례。결론：채용해부쇄정강판치료복잡Pilon골절림상효과만의，시절개복위내고정복잡Pilon골절적이상선택。
Objective:To explore the clinical therapeutic effect of anatomic locking plate in the treatment of com-plex Pilon fracture.Methods:84 patients suffered from complex Pilon fractures were treated by anatomic locking plate.The clinical data such as fracture union, complication and Mazur score were retrospectively studied. Results:All the patients were followed up for 12 to 24 months,averaged 18 months.All cases obtained synostosis and no de-layed union and none-union occurred . According to Mazur scoring,of the 84 cases,there were 60 cases belonging to excellent,20 the good,and 6 the fair.Conclusion:The effect of anatomic locking plate in the treatment of complex Pilon fractures is satisfied, and it is an ideal choice for open reduction and fixation for complex Pilon fracture.