徐卫国;金鸿宾;吴英华;王志彬;

• 1:天津医院创伤三病区
• 2:天津医院创伤三病区
• 3:天津医院创伤三病区
• 4:天津医院创伤三病区 天津市河西区解放南路406号300211

摘要(Abstract)：

[目的]介绍经腓骨固定胫骨结合踝关节支架治疗Pilon骨折不愈合的方法并初步探讨其疗效。[方法]1999~2004年共收治Pilon骨折不愈合者6例,男4例,女2例;年龄21~53岁,平均34.7岁。所有骨折均累及胫骨关节面并腓骨骨折,胫骨骨折不愈合,踝关节畸形。通过后外侧入路显露腓骨胫骨,复位满意后选用重建钢板置于腓骨外侧,螺钉通过腓骨钻入胫骨固定。小腿内侧选用踝关节外固定架固定。取自体髂骨植骨于骨断端和胫腓骨间区域以获得骨性愈合和下胫腓融合。[结果]随访8个月~4年,平均22个月。5例获得骨性愈合,平均愈合时间3.5个月。1例因过早去除踝关节支架且负重,出现钢板断裂再折。[结论]对于Pilon骨折不愈合,采用小腿后外侧入路经腓骨固定胫骨结合踝关节支架,是提高复位质量,促进骨折愈合,纠正关节畸形,防止并发症的有效方法,且相对更简便可靠。

关键词(KeyWords)： Pilon;骨折;不愈合;经腓骨;支架

Abstract:

Keywords:

基金项目(Foundation):

作者(Author): 徐卫国;金鸿宾;吴英华;王志彬;

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DOI:

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