摘要
目的回顾性分析总结后Pilon骨折的诊断、治疗。方法笔者自2015-01—2015-12诊治31例后Pilon骨折,采用AOFAS评分标准进行后足功能评分。结果 31例均获得随访10~24个月,平均16.8个月。所有患者切口均一期愈合;术后常规检查未发现距骨半脱位,关节面台阶>2 mm 3例,关节面无台阶有间隙>2 mm 1例。骨折愈合时间12~18周,平均14.6周,末次随访时疗效采用AOFAS评分标准评定:平均86.4(72~100)分;优16例,良10例,可5例,优良率83.9%。结论增加对后Pilon骨折的认识、正确的诊断、合理的手术入路和可靠的固定是手术治疗成功的关键。
Objective To evaluate the clinical outcome of posterior Pilon fracture with operative treatment retrospectively.Methods From January 2015 to December 2015, 31 cases of posterior Pilon fracture without open malleolar fracture orexisting dermatologic/vaseular disorders in lower limbs were included for analysis. American orthopaedic foot and ankle society（AOFAS） funetion scale were used for evaluation. Results The mean follow-up time was 16.8 months （10 to 24 m）. Allincisions were healed at stage I. Fracture healing time varied from 12 to 18 weeks with an average of 14.6 weeks. None hadsubluxation of talus. Three patients had more than 2 mm of joint incongruity and one patient had clearance greater than 2 mmwithout articular step-off. The average AOFAS score at the end of follow-up was 86.4（ranging from 72-100） with 16 graded asexcellent, 10 good, 5 fair. 83.9% of patients achieved good functional recovery. Conclusion Improvement in diagnosis,proper approach and reliable fixation are keys to surgical treatment of Pilon fracture.
出处
《中国骨与关节损伤杂志》
2017年第12期1255-1257,共3页
Chinese Journal of Bone and Joint Injury
基金
浦东新区科技发展基金(PKJ2016-T10)
关键词
后Pilon骨折
踝关节骨折
诊断治疗
Posterior Pilon Fracture
Ankle Fracture
Diagnosis and Treatment
作者简介
通讯作者：娄玉建，E-mail：supershen401@hotmail．com
