延期开放复位锁定钢板治疗AO-C型Pilon骨折的疗效研究

摘要

目的:探讨延期开放复位锁定钢板内固定治疗AO-C型Pilon骨折的疗效.方法:回顾性分析2012-01～2014-01采用延期开放复位锁定钢板内固定治疗35例Pilon骨折患者的临床资料, 根据Muller AO分型均属于C型, 其中C1型9例, C2型12例, C3型14例, 开放性2例, 比较治疗效果及术后并发症发生情况.结果:全部患者均获得随访, 随访时间12.0～35.0个月, 平均18.0个月;患者均骨性愈合, 无深部感染, 愈合时间为14.0～18.0周, 平均15.5周;1例骨性关节炎表现;依据踝关节功能Mazur评分系统评分:优18例, 良14例, 可2例, 差1例, 优良率为91.4％.结论:对高能量损伤的AO-C型Pilon骨折采用延期切开复位锁定钢板内固定术, 利于早期功能锻炼, 减少术后并发症的发生, 是一种有效的治疗方法.%Objective:To investigate the efficacy of delayed open reduction and locking plate for internal fixation in treatment of type AO-C Pilon fracture.Methods:The clinical data of 35 patients with type AO-C Pilon fracture from January 2012 to January 2014 treated with open reduction and locking plate were analyzed retrospectively.According to Muller AO classification system, all cases were type C, with 9 cases of type C1, 12 cases of type C2, 14 cases of type C3, 2 cases of openness.The treatment effect and occurrence of complications were compared.Results:All patients had been followed up for 12.0-35.0 months, the average time was 18.0 months.All patients were fracture healing, no deep infection, heal time was 14.0-18.0 weeks, the average time was 15.5 weeks, 1 case of osteoarthritis.According to the Mazur scale scores, excellent in 18 cases, good in 14 cases, fair in 2 cases, bad in 1 case, excellent and good rate was91.4％.Conclusion:Delay open reduction locking plate for internal fixation in treatment of type AO-C pilon fracture, it can benefits early functional exercise, and reduce the occurrence of postoperative complication.It is a effective treatment.