锁定加压钢板接骨术治疗胫骨Pilon 骨折

目的:评估锁定加压钢板接骨术治疗胫骨Pilon骨折的应用价值。方法:2006年4月-2010年12月,对48例胫骨Pilon骨折患者,采用锁定加压钢板(LCP)治疗的结果进行总结。手术前后运用AOFAS(美国足与踝关节协会)踝与后足功能评分(Ankl-e-Hindfoot Scale)系统进行治疗效果的评估。结果:本组按AOFAS踝与后足功能评分系统:术前平均为(67.6±7.4)分,可18例,差30例;术后评分改善到平均为(90.9±7.2)分,优19例,良21例,可5例,差3例,踝与后足功能评分术前与术后比较,差异有统计学意义(P<0.05)。结论:用锁定加压钢板接骨术治疗胫骨Pilon骨折,有利于踝关节功能恢复,疗效确切,适应症广泛,较其他内固定器而言,锁定加压钢板在临床上更适用。

Osteosynthesis with Locking Compression Plate in the Treatmentof Tibial Pilon Fractures

Objective: To evaluate the feasibility and value of locking compression plate osteosynthesis in the treatment of tibial Pilon fracture.Methods: Between April 2006 and December 2010,the results of treatment of tibial pilon fracture with locking compression plate osteosynthesis in 48 patients were reviewed.By AOFAS Ankle-Hindfoot Scale System determine the preoperative and postoperative therapeutic effect of locking compression plate osteosynthesis for the treatment of tibial pilon fractures.Results: The ankle-hindfoot function were evaluated by AOFAS Ankle-Hindfoot Scale System: The ankle-hindfoot score of preoperative was 69.6 ±7.3(mean±standard deviation),fair in 18 cases and poor in 30 cases;the ankle-hindfoot score of postoperativewere 90.2±7.8(mean±standard deviation),excellent in 19 cases,good in 21 cases,fair in 5 cases and poor in 3 case,the preoperative and postoperative ankle-hindfoot function score were showed significant difference(P<0.05).Conclusions: Osteosynthesis with locking compression plate is an effective treatment for tibial pilon fracture for good effects of ankle-hindfoot functional recovery and more extensive indications than using other internal fixators,so it is more commonly used in clinic.