中国继续医学教育
中國繼續醫學教育
중국계속의학교육
China Continuing Medical Education
2015年
25期
86-87
,共2页
后内侧%后 Pilon 骨折%内固定
後內側%後 Pilon 骨摺%內固定
후내측%후 Pilon 골절%내고정
Medial approach%After pilon fracture%Fixation
目的：分析后内侧入路切口治疗后 Pilon 骨折的临床效果。方法回顾性分析我院收治的44例后 Pilon 骨折患者的临床资料。结果本次研究的44例后 Pilon 骨折患者均行后内侧切口实施切开复位内固定治疗，对其随访2年；患者平均手术时间为（60.8±15.7）min，术后平均住院时间为（9.8±2.1）天。44例患者切口均一期愈合，解剖复位率为93.2%（41/44例）；平均愈合时间为（16.1±2.1）周，末次随访时，患者 AOFAS 评分优良率为100%。结论采用后内侧入路切口治疗后 Pilon 骨折患者的效果显著，可有效提高患者的复位及固定效果。
目的：分析後內側入路切口治療後 Pilon 骨摺的臨床效果。方法迴顧性分析我院收治的44例後 Pilon 骨摺患者的臨床資料。結果本次研究的44例後 Pilon 骨摺患者均行後內側切口實施切開複位內固定治療，對其隨訪2年；患者平均手術時間為（60.8±15.7）min，術後平均住院時間為（9.8±2.1）天。44例患者切口均一期愈閤，解剖複位率為93.2%（41/44例）；平均愈閤時間為（16.1±2.1）週，末次隨訪時，患者 AOFAS 評分優良率為100%。結論採用後內側入路切口治療後 Pilon 骨摺患者的效果顯著，可有效提高患者的複位及固定效果。
목적：분석후내측입로절구치료후 Pilon 골절적림상효과。방법회고성분석아원수치적44례후 Pilon 골절환자적림상자료。결과본차연구적44례후 Pilon 골절환자균행후내측절구실시절개복위내고정치료，대기수방2년；환자평균수술시간위（60.8±15.7）min，술후평균주원시간위（9.8±2.1）천。44례환자절구균일기유합，해부복위솔위93.2%（41/44례）；평균유합시간위（16.1±2.1）주，말차수방시，환자 AOFAS 평분우량솔위100%。결론채용후내측입로절구치료후 Pilon 골절환자적효과현저，가유효제고환자적복위급고정효과。
Objective To analyze medial incision approach Pilon fracture after treatment clinical results. Methods A retrospective analysis of clinical data of 44 cases of Pilon fracture patients after the hospital admitted. Results 44 cases of Pilon fracture patients in this study were the medial incision line after the implementation of open reduction and internal fixation, its follow-up of 2 years; the average surgery time was (60.8 ± 15.7) min, mean postoperative hospital stay was (9.8 ± 2.1) days. 44 patients incisions healed, anatomical reduction was 93.2% (41/44 patients), patients mean healing time was (16.1 ± 2.1) weeks, when the last follow-up, patients AOFAS score excellent rate of 100%. Conclusion The medial incision approach adopted after Pilon fracture treatment effect is remarkable, reduction and fixation can effectively improve patient outcomes.
