Ⅲ型Pilon胫骨骨折三种治疗方法的疗效分析

摘要

Objective:To investigate the curative effect analysis of using three methods in the treatment of typeⅢPilon fracture.Method:29 patients with Ruedi-AllgowerⅢPilon fractures were treated by three kinds of methods of operation,the healing effect of early postoperative rehabilitation exercise were compared.Result:29 cases had been followed up,with an average follow-up of 15 months.All fractures healed,according to the assessment standards of“Mazur”,the excellent and good rate of function as follows:Ⅲa was 75.0%;Ⅲb was 80.0%;Ⅲc was 71.4%;Ⅲb was the highest. Conclusion:For Ruedi-Allgower typeⅢPilon fractures,choose appropriate surgical timing,for typeⅢa,typeⅢb and typeⅢc fractures in different ways,according to local conditions,and combined with early functional exercise and curative effect are satisfied.%目的：探讨三种治疗方法对Ⅲ型Pilon胫骨骨折治疗的疗效分析。方法：对29例Ruedi-AllgowerⅢ型Pilon骨折患者，分别用三种方法进行手术治疗，比较术后早期康复功能锻炼的愈合效果。结果：29例均获随访，平均随访15个月；骨折全部愈合，按Mazur评定标准，功能优良率分别为Ⅲa组优良率75.0%；Ⅲb组优良率80.0%；Ⅲc组优良率71.4%；Ⅲb组优良率最高。结论：对于Ruedi-AllgowerⅢ型Pilon骨折，选择适宜手术时机，对Ⅲa型、Ⅲb型和Ⅲc型骨折采用不同方法，因地制宜，并结合早期功能锻炼，疗效均满意。